Active NPI
Bryce Wong, PT, DPT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1972997849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-5162
- Practice address
- 3221 Waialae Ave Ste 300
Honolulu, HI 96816-5845 - Phone
- (808) 737-4244
- Fax
- (808) 737-2220
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42346 | CA | |
| Physical Therapist | 225100000X | PT-5162 | HI | Primary |
Addresses
Primary practice location
3221 Waialae Ave Ste 300
Honolulu, HI 96816-5845
Mailing address
3221 Waialae Ave
Ste 300
Honolulu, HI 96816-5845
Phone (808) 737-4244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3221 Waialae Ave
Suite 300
Honolulu, HI 96816-5845
Phone (808) 488-4243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42346 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Therapy Partners, Inc. | Single Specialty | Current | Accepting new patients |
Locations
98-1247 Kaahumanu St
Ste 118B
Aiea, HI 96701
Phone (808) 488-4243
3221 Waialae Ave
Ste 300
Honolulu, HI 96816
Phone (808) 488-4243
Organizations & group practices 1
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": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1972997849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 WAIALAE AVE",
"address_2": "STE 300",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165845",
"telephone_number": "808-737-4244",
"fax_number": "808-737-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 WAIALAE AVE STE 300",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165845",
"telephone_number": "808-737-4244",
"fax_number": "808-737-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "BRYCE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42346",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-5162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.