NPI age
18 years
Enumerated 2008-05-20
● Active
Type 1 · Individual
Aileen Ibanez-Wong, MPT
Ibanez-Wong is 1 of 1 physical therapist providers in MacOn and 1 of 33 in Georgia.
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 33 active physical therapist providers in Georgia.
NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
840 Pine St Ste 880
MacOn, GA 312017525
Mailing address
849 Parkview Dr
MacOn, GA 312111422
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial...
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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