IndividualActive
Yanyao Wang, LAC
NPI 1609359405 · Physical Therapist · Whitestone, NY
Provider details
- NPI number
- 1609359405
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 006363 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16840 Powells Cove Blvd
Whitestone, NY 11357-1523
Phone: (212) 495-9698
Street-level locationGet directions
Mailing address
16840 Powells Cove Blvd
Whitestone, NY 11357-1523
Additional practice locations (1)
- 475 Northern Blvd Ste 11Great Neck, NY 11021-4802Phone: (516) 829-0030Fax: (516) 466-7723
Registry dates
- Enumerated
- 2018-09-08
- Last updated
- 2026-06-07
- Certified
- 2026-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.