Heather Gagnon Wong, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

119884 Issued in MO

Practice address

8340 Linden Lane
Prairie Village, KS 66207

Phone

(913) 707-4303

NPI assigned

Feb 13, 2006

Last updated

Jan 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1972577500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 LINDEN LANE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66207",
            "telephone_number": "913-707-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LINDEN LANE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66207",
            "telephone_number": "913-707-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "HEATHER",
        "middle_name": "GAGNON",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "119884",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "484700406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wilson
• Wineteer, Inc. (LifeWise Renovations)
• Lisa Winter
• Kimberly Anne Wise, MD
• Robert Paul Wolf, DDS
• Orria C Wood
• Mark William Wooddy, D.D.S.
• Meredith Lynn Woodring, M.S. CCC-SLP
• Sara Worley, PHARMD
• Elizabeth Wroe

• Physical Therapist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.