Individual provider Active NPI

Joseph J Wang, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1881636728
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
DAPT005295 Issued in PA
Practice address
10100 Jamison Ave Ste 222
Philadelphia, PA 19116-3832
Phone
(215) 676-3870
Fax
(215) 676-6856
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC007915L PA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X DAPT005295 PA Primary

Addresses

Primary practice location

10100 Jamison Ave Ste 222
Philadelphia, PA 19116-3832

Mailing address

258 S State St Ste 2
Newtown, PA 18940-3527
Phone (267) 992-1338

Other practice location 1

258 S State St Ste 2
Newtown, PA 18940-3527
Phone (267) 992-1338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090319000537 PA Practitioner - Physical Therapist in Private Practice 4688565534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Approach Rehabilitation Center LLCGroup PAC ID 2567353402, 2 clinicians

Practice addresses (Care Compare)

10100 Jamison Ave
Suite 222
Philadelphia, PA 19116-3832
Phone (215) 676-3870

258 S State St
Suite 2
Newtown, PA 18940-3527
Phone (267) 992-1338

Merit-based Incentive Payment System (MIPS)

Final score
95.58 of 100Reported as group
Quality
83.06
Improvement activities
40
Cost
84.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT005295PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Approach Rehabilitation Center LLC Chiropractor CurrentSince Feb 16, 2009 Accepting new patients
Zen Healing Center LLC. Physical Therapist CurrentSince Nov 23, 2021 Accepting new patients
Aquatic Therapy of Chinatown Chiropractor Past Accepting new patients

Locations

258 S State St
Ste 2
Newtown, PA 18940
Phone (215) 322-6035

10100 Jamison Ave
Ste 222
Philadelphia, PA 19116
Phone (215) 676-3870

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1881636728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S STATE ST STE 2",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403527",
            "telephone_number": "267-992-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 JAMISON AVE STE 222",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163832",
            "telephone_number": "215-676-3870",
            "fax_number": "215-676-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 S State St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189403527",
            "country_code": "US",
            "telephone_number": "267-992-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007915L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT005295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.