Active NPI
Cindia Wong
- Physical Therapist
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011379
- Practice address
- 26850 Providence Pkwy Ste 365
Novi, MI 48374-1262 - Phone
- (248) 380-3550
- Fax
- (248) 380-1620
- NPI assigned
- Feb 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011379 | MI | Primary |
Addresses
Primary practice location
26850 Providence Pkwy Ste 365
Novi, MI 48374-1262
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Other practice location 1
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-3744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011379 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ompt Specialists, Inc. | Physical Therapist | Current | Accepting new patients |
| Oakland Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
2455 Union Lake Rd
Ste 104
Commerce Twp, MI 48382
Phone (248) 242-6025
26850 Providence Pkwy
Ste 365
Novi, MI 48374
Phone (248) 380-3550
1080 Kirts Blvd
Ste 500
Troy, MI 48084
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 and National Provider Directory roles.
-
- Physical Therapist
- Troy, MI
- NPI 1205865961
-
- Physical Therapy Clinic/Center
- Novi, MI
- NPI 1487793394
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1982105599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY STE 365",
"city": "NOVI",
"state": "MI",
"postal_code": "483741262",
"telephone_number": "248-380-3550",
"fax_number": "248-380-1620"
}
],
"practiceLocations": [
{
"address_1": "22101 Moross Rd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482362148",
"country_code": "US",
"telephone_number": "313-343-3744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "CINDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.