Harry Wong, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

12227PT Issued in AZ

Practice address

17100 North 67TH Ave
BLD 1, Suite 100
Glendale, AZ 85308-3612

Phone

(623) 979-2747

Fax

(623) 979-3122

NPI assigned

Feb 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360 Physical Therapy LLC 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 360 Physical Therapy, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1932430949

  AZ

  Medicare reassignment Care Compare group NPD
• 360 Physical Therapy LLC

  • Specialist
  • Sun Lakes, AZ
  • NPI 1164555074
  NPD
• 360 Physical Therapy LLC

  • Physical Therapist
  • Queen Creek, AZ
  • NPI 1689115164
  NPD
• Aris Health Corportation

  • Physical Therapist
  • Glendale, AZ
  • NPI 1023116332
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1861993586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 NORTH 67TH AVE",
            "address_2": "BLD 1, SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083612",
            "telephone_number": "623-979-2747",
            "fax_number": "623-979-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 NORTH 67TH AVE",
            "address_2": "BLD 1, SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083612",
            "telephone_number": "623-979-2747",
            "fax_number": "623-979-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "HARRY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "12227PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Lynn Wolfley
• Corey Scott Wolter, MS NCC LPC
• Aletheia R L Wong, O.D.
• Amy Wong, D.D.S.
• Gilbert G. Wong, O.D.
• Megan Ashley Wong, DO
• Melissa Anne Wong, DDS
• Eric Alan Woo, O.D.
• Michael Woo, L.M.T.
• Andrew Wood

• All providers in Glendale, AZ
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.