Individual provider Active NPI

Susan Oetting Wong, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Hilo, HI
National Provider Identifier
1861636946
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
878 Issued in HI
Practice address
944 West Kawailani Street
Life Care Center of Hilo
Hilo, HI 96720-3218
Phone
(808) 959-9151
NPI assigned
Apr 21, 2009
Last updated
Apr 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 878 HI Primary
Physical Rehabilitation Occupational Therapist 225XP0019X 007957-1 NY

Addresses

Primary practice location

944 West Kawailani Street
Life Care Center of Hilo
Hilo, HI 96720-3218

Mailing address

PO Box 5803
Hilo, HI 96720-8803
Phone (808) 430-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
878HIMDPhysical Rehabilitation Occupational Therapist
007957-1NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1861636946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5803",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208803",
            "telephone_number": "808-430-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 WEST KAWAILANI STREET",
            "address_2": "LIFE CARE CENTER OF HILO",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203218",
            "telephone_number": "808-959-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETTING WONG",
        "first_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "HI",
            "license": "878",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "007957-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.