Individual provider Active NPI

Tony Wai Cheung Kwok, DPT

  • Geriatric Physical Therapist
  • Nesconset, NY
National Provider Identifier
1912295536
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
033557
Practice address
267 Smithtown Blvd
Ste 4
Nesconset, NY 11767-2120
Phone
(631) 724-5433
NPI assigned
Jul 17, 2011
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033557 NY
Geriatric Physical Therapist 2251G0304X 033557 Primary
Sports Physical Therapist 2251S0007X 033557 NY
Orthopedic Physical Therapist 2251X0800X 033557

Addresses

Primary practice location

267 Smithtown Blvd
Ste 4
Nesconset, NY 11767-2120

Mailing address

267 Smithtown Blvd
Ste 4
Nesconset, NY 11767-2120
Phone (631) 724-5433

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabpro Physical Therapy, PC Physical Therapist PastSince Jun 12, 2019 Accepting new patients
Propel Physical Therapy PC Physical Therapist Past Accepting new patients
Optimum Therapeutics PT & OT PLLC Physical Therapist PastSince Jun 30, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1912295536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 SMITHTOWN BLVD",
            "address_2": "STE 4",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672120",
            "telephone_number": "631-724-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 SMITHTOWN BLVD",
            "address_2": "STE 4",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672120",
            "telephone_number": "631-724-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "TONY",
        "middle_name": "WAI CHEUNG",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-17",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033557",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": "033557",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "033557",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": "033557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.