MR. KEVIN WONG (NPI# 1225045297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225045297 |
| Entity Type | Individual |
| Full Name | MR. KEVIN WONG |
| Credential | MSPT,OCS, CAMT |
| Practice Address |
4128 71st St Ca Woodside NY 11377-3966 |
| Mailing Address |
4128 71st St Suite Ca Woodside NY 11377-3966 |
| Practice Telephone | 7188746779 |
| Practice Fax Number | 7186516373 |
| Mailing Telephone | 7188746779 |
| Mailing Fax Number | 7186516373 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
019209-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508354960 | Kevin Wong | Pharmacist | 9247 Matthews Ave Ne, Seattle, WA 98115-3942 | 2018-05-01 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1457693038 | Kevin Wong | Pain Medicine | 151 S Sunrise Way Ste 100, Palm Springs, CA 92262-0129 | 2013-03-21 |
| 1275881237 | Kevin Wong | Pharmacist | 2089 Pheasant Dr, Hercules, CA 94547-1627 | 2012-08-23 |
| 1821129438 | Kevin Y.s. Wong | Dentist | 431 S Ham Ln, Ste D, Lodi, CA 95242-3524 | 2007-03-07 |
| 1912927112 | Kevin Wong | Chiropractor | 89 Moraga Way, Suite A, Orinda, CA 94563-3023 | 2006-07-20 |
| 1750915757 | Kevin Guanwei Wong | Pharmacist | 1150 Harter Pkwy, Yuba City, CA 95993-2642 | 2020-02-27 |
| 1962051110 | Kevin Wing Wong | Pharmacist | 4025 Delridge Way Sw Ste 400, Seattle, WA 98106-1273 | 2019-09-10 |
| 1255980819 | Kevin Wong | Behavior Technician | 44 Gough St Ste 210, San Francisco, CA 94103-5424 | 2019-09-06 |
| 1952958811 | Kevin Wong | Pharmacy | 3055 W Florida Ave, Hemet, CA 92545-3617 | 2019-08-24 |
| Street Address |
4128 71ST ST CA |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-3966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013974476 | Orthopedic Physical Therapy PC | Clinic/Center | 4128 71st St, Ste Ca, Woodside, NY 11377 | 2006-04-28 |
| 1265654909 | Xiaosi Yang | Acupuncturist | 4128 71st St, Suite Cb, Woodside, NY 11377-3966 | 2007-05-03 |
| 1609863935 | Amy Anmei Wong | Chiropractor | 4128 71st St, #ca, Woodside, NY 11377-3966 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076889 | Hyunjong Kim | Physical Therapist | 4235 64th St, Woodside, NY 11377-5046 | 2019-11-06 |
| 1063766343 | Young Yu | Physical Therapist | 4119 60th St, 3c, Woodside, NY 11377-4987 | 2012-11-07 |
| 1982229829 | Joseph Turcic Physical Therapy Pllc | Physical Therapist | 4750 59th St Apt 8a, Woodside, NY 11377-5525 | 2020-06-16 |
| 1376851683 | Arlene Calpito | Physical Therapist | 4277 65th Pl, Woodside, NY 11377-5054 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.