DR. MELODY TIN-WUN WONG (PT, DPT) – Orthopedic Physical Therapist, NPI 1154987394

DR. MELODY TIN-WUN WONG (PT, DPT) is a healthcare provider. based in Fairfax, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for DR. MELODY TIN-WUN WONG (PT, DPT) is 1154987394

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELODY TIN-WUN WONG (PT, DPT)
NPI
1154987394
Phone
(703) 774-4399
Address
3613 OX RIDGE CT
Enumeration Date
14 May 2019
Last Update Date
14 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3039048133
Graduation Year
2019 (7 years ago)
PAC ID
6103311006
Group Practice PAC ID
4183690290
Professional Enrollment ID
I20251218001054
Address ID
CO801230761LI9200XDRXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

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Provider Addresses for DR. MELODY TIN-WUN WONG (PT, DPT)

  • 3613, Ox Ridge Court, Chantilly, Fairfax County, Virginia, 22033, United States

    FAIRFAX, VA 220332586

    Phone: (703) 774-4399

    Type: Mailing

  • Old Courthouse Road, Vienna, Fairfax County, Virginia, 22182, United States

    VIENNA, VA 221823848

    Phone: (703) 734-2889

    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: 2025-12-18

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
I20251218001054IPhysical Therapist In Private PracticeCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22033)

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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: 4183690290View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO

Reviews

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Frequently asked questions

Is DR. MELODY TIN-WUN WONG (PT, DPT) listed with a National Provider Identifier?
Yes — DR. MELODY TIN-WUN WONG (PT, DPT) has NPI 1154987394 on file in the registry.
Would DR. MELODY TIN-WUN WONG (PT, DPT) appear as active to a payer?
You can treat DR. MELODY TIN-WUN WONG (PT, DPT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. MELODY TIN-WUN WONG (PT, DPT)?
DR. MELODY TIN-WUN WONG (PT, DPT)'s record emphasizes Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MELODY TIN-WUN WONG (PT, DPT)?
Travel planning: use Fairfax, Virginia as the reference point for DR. MELODY TIN-WUN WONG (PT, DPT), then confirm.
Can I trust this NPI listing for DR. MELODY TIN-WUN WONG (PT, DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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