JONATHAN C ONG (DPT) – Physical Therapist, NPI 1356622914

JONATHAN C ONG (DPT) is a healthcare provider. based in Moore, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT38123 (CA). The NPI Number for JONATHAN C ONG (DPT) is 1356622914

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN C ONG (DPT)
NPI
1356622914
Phone
(918) 864-5848
Address
526 SW 4TH STREET
Enumeration Date
8 September 2011
Last Update Date
4 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
40573587773
Graduation Year
2011 (15 years ago)
PAC ID
4082886437
Group Practice PAC ID
2365828571
Professional Enrollment ID
I20150827002849
Address ID
OK731342031OK2422XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for JONATHAN C ONG (DPT)

  • 526 SW 4TH STREET

    SUITE 200

    MOORE, OK 73160

    Phone: (918) 864-5848

    Type: Mailing

  • 13390 NE 23RD ST

    CHOCTAW, OK 730208622

    Phone: (405) 769-5555

    Fax: (405) 769-5558

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150827002849IPhysical Therapist In Private PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,30929$0
97140Therapy procedure using manual technique, each 15 minutes44528$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20111$0
97162Evaluation for physical therapy, typically 30 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 73160)

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Provider's Procedures

JONATHAN C ONG (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOK97001Physical therapy evaluation4340

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365828571View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

Can I cross-check JONATHAN C ONG (DPT) using NPI 1356622914?
NPI 1356622914 belongs to JONATHAN C ONG (DPT); compare other details if you need extra assurance.
Would JONATHAN C ONG (DPT) appear as active to a payer?
You can treat JONATHAN C ONG (DPT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JONATHAN C ONG (DPT)?
JONATHAN C ONG (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JONATHAN C ONG (DPT)?
Travel planning: use Moore, Oklahoma as the reference point for JONATHAN C ONG (DPT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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