Active NPI
Herstel Therapie Inc
- Rehabilitation Clinic/Center
- Staten Island, NY
National Provider Identifier
1023822244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- HERSTEL THERAPIE INC
- Practice address
- 191 Bradley Ave
Staten Island, NY 10314-5166 - Phone
- (718) 698-8800
- NPI assigned
- Feb 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebenezer A Awolesi
- Title
- Owner
- Phone
- (718) 909-4660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
191 Bradley Ave
Staten Island, NY 10314-5166
Mailing address
48 Reservoir Rd
Hackettstown, NJ 07840-5647
Phone (718) 909-4660
Other practice location 1
48 Reservoir Rd
Hackettstown, NJ 07840-5647
Phone (718) 909-4660
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Staten Island, NY
- NPI 1447795323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1023822244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 RESERVOIR RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078405647",
"telephone_number": "718-909-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 BRADLEY AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145166",
"telephone_number": "718-698-8800"
}
],
"practiceLocations": [
{
"address_1": "48 Reservoir Rd",
"address_purpose": "LOCATION",
"city": "Hackettstown",
"state": "NJ",
"postal_code": "078405647",
"country_code": "US",
"telephone_number": "718-909-4660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HERSTEL THERAPIE INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "AWOLESI",
"authorized_official_first_name": "EBENEZER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-909-4660"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.