NPIMap

Organization Active NPI

Well Street Occupational Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Woodside, NY
National Provider Identifier
1063051456
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WELL STREET OCCUPATIONAL THERAPY, PLLC
Practice address
3960 54TH St Apt 7P
Woodside, NY 11377-4217
Phone
(347) 832-8012
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lindsay H Um, M.S., OTR/LNPI 1588061972
Title
Occupational Therapist
Phone
(347) 832-8012

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3960 54TH St Apt 7P
Woodside, NY 11377-4217

Mailing address

3960 54TH St Apt 7P
Woodside, NY 11377-4217
Phone (347) 832-8012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1063051456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 54TH ST APT 7P",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774217",
            "telephone_number": "347-832-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 54TH ST APT 7P",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774217",
            "telephone_number": "347-832-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL STREET OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "UM",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "347-832-8012",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.