Active NPIIndividual provider

Nathan Wong, PT, DPT

Physical Therapist in Kealakekua, Hawaii

NPI Number1619481165
Practice location
79-7422 Hawaii Belt RD, Kealakekua, HI 96750
Fax
808-334-1608
Last updated
November 25, 2022

Nathan Wong is a Physical Therapist based in Kealakekua, HI. Nathan Wong practices in Kealakekua, HI and has the professional credentials of PT, DPT. The NPI Number for Nathan Wong is 1619481165 and holds a License No. 40QA01766000 (NJ). The current practice location address for Nathan Wong is 79-7422 Hawaii Belt RD, Kealakekua, HI 96750 and can be reached out via phone at 808-322-8400 and via fax at 808-334-1608.

Provider Profile Details

NPI Number
1619481165
Provider Name
Nathan Wong
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
79-7422 Hawaii Belt RD, Kealakekua, HI 96750
Phone Number
808-322-8400
Fax Number
808-334-1608
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 20, 2017
Last Update Date
November 25, 2022
Certification Date
November 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
79-7422 Hawaii Belt RD
Kealakekua, HI 96750
State
Hawaii
Zip
96750
Phone Number
808-322-8400
Fax Number
808-334-1608
Kealakekua, HI 96750Get directions →

Provider Business Mailing Address Details

Address
147 Bergen Ave
North Arlington, NJ 07031-5150
City
North Arlington
State
NJ
Zip
07031-5150
Phone Number
551-655-7387

License Information

License Number
40QA01766000
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nathan Wong, PT, DPT?

The NPI number of Nathan Wong, PT, DPT is 1619481165. It was assigned on November 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Nathan Wong, PT, DPT?

Nathan Wong, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01766000.

Where does Nathan Wong, PT, DPT practice?

The practice location is 79-7422 Hawaii Belt RD, Kealakekua, HI 96750. The office can be reached at 808-322-8400 (phone) or 808-334-1608 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619481165 directly on the NPPES registry website.

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