Active NPI
Ming Jie Wang, OTR/L
- Occupational Therapist
- College Point, NY
National Provider Identifier
1982155628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016560-1
- Practice address
- 12318 25TH Ave
College Point, NY 11356-2612 - Phone
- (718) 249-9953
- NPI assigned
- Oct 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016560-1 | NY | Primary |
Addresses
Primary practice location
12318 25TH Ave
College Point, NY 11356-2612
Mailing address
6918 213TH St # 2
Oakland Gardens, NY 11364-2512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016560-1 | NY | MD | Physical Therapist |
| 016560 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT and OT for Senior Rehab at Home PLLC | Current | Accepting new patients |
Locations
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
8008 45th Ave
Ofc
Elmhurst, NY 11373
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.
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1982155628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6918 213TH ST # 2",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12318 25TH AVE",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113562612",
"telephone_number": "718-249-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "MING JIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016560-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.