Organization Active NPI

Wellness Physical Therapy & Rehabilitation Services PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1063660769
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027913 Issued in NY
Legal business name
WELLNESS PHYSICAL THERAPY & REHABILITATION SERVICES PLLC
Practice address
215 Avenue T
Brooklyn, NY 11223-3753
Phone
(718) 382-8881
Fax
(718) 382-8880
NPI assigned
Sep 5, 2008
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Mr. Samuel Akl, PLLCNPI 1275754137
Title
President
Phone
(718) 382-8881

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 027913 NY Primary

Addresses

Primary practice location

215 Avenue T
Brooklyn, NY 11223-3753

Mailing address

215 Avenue T
Brooklyn, NY 11223-3753
Phone (718) 382-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080908000486 NY Part B Supplier - Clinic/Group Practice 9436225869 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1063660769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233753",
            "telephone_number": "718-382-8881",
            "fax_number": "718-382-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233753",
            "telephone_number": "718-382-8881",
            "fax_number": "718-382-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHYSICAL THERAPY & REHABILITATION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "AKL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-382-8881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PLLC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.