Active NPI
Lai Yung Wong, OTR
- Occupational Therapist
- Fort Worth, TX
National Provider Identifier
1972766905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 108624
- Practice address
- 3840 Hulen St Ste 100
Fort Worth, TX 76107-7269 - Phone
- (817) 335-3022
- NPI assigned
- Jul 9, 2008
- Last updated
- Dec 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6440 | NC | |
| Occupational Therapist | 225X00000X | 108624 | TX | Primary |
Addresses
Primary practice location
3840 Hulen St Ste 100
Fort Worth, TX 76107-7269
Mailing address
3840 Hulen St
Fort Worth, TX 76107-7277
Phone (817) 569-4300
Other practice location 1
HHC 18th MEDCOM
Box 4
Apo, AP 96205-0017
Phone 82505738 ext. 4422
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6440 | NC | MD | Clinical Psychologist |
| 108624 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teach Me LLC | Past | Accepting new patients | |
| Therapy & Beyond Medical Management, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmental Disabilities Clinic/Center
- Carrollton, TX
- NPI 1669146171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1972766905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-569-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST STE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077269",
"telephone_number": "817-335-3022"
}
],
"practiceLocations": [
{
"address_1": "HHC 18th MEDCOM",
"address_2": "Box 4",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "962050017",
"country_code": "US",
"telephone_number": "82505738 x4422",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "WONG",
"first_name": "LAI YUNG",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6440",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "108624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.