Individual provider Active NPI

Jack Wong, PT, DPT

  • Physical Therapist
  • Kingwood, TX
National Provider Identifier
1871914093
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1277238 Issued in TX
Practice address
1110 Kingwood Dr Ste 245
Kingwood, TX 77339-3099
Phone
(281) 888-0047
Fax
(281) 721-4023
NPI assigned
Dec 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1277238 TX Primary
Geriatric Physical Therapist 2251G0304X 1277238 TX

Addresses

Primary practice location

1110 Kingwood Dr Ste 245
Kingwood, TX 77339-3099

Mailing address

1110 Kingwood Dr Ste 245
Kingwood, TX 77339-3099
Phone (281) 888-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170314001620 TX Practitioner - Physical Therapist in Private Practice 0345466553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level Physical Therapy IncGroup PAC ID 7618252644, 3 clinicians
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1110 Kingwood Dr
Suite 245
Kingwood, TX 77339-3099
Phone (281) 721-4023

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1277238TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 7, 2025 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 7, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jan 7, 2025 Accepting new patients

Locations

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1871914093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR STE 245",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393099",
            "telephone_number": "281-888-0047",
            "fax_number": "281-721-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR STE 245",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393099",
            "telephone_number": "281-888-0047",
            "fax_number": "281-721-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1277238",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1277238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.