Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Everett R Wong, MSPT

Individual provider Physical Therapist · NPI 1679520985

Everett R Wong, MSPT is a Physical Therapist in Private Practice in Kailua, Hawaii. Qualified in 2003, 23 years ago. Practices with Team Physical Therapy, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
23
Licensed in
HI
In the registry since
2006

Practice location Address checks out

1090 Keolu Dr Ste 104
Kailua, HI 96734-3871
Phone: (808) 262-2292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2591 (HI)

Record details

NPI number1679520985
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESMarch 9, 2017
Mailing addressPo Box 1440, Kailua, HI 96734-1440

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Team Physical Therapy, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kailua