Organization Active NPI

Healing Dynamics Corp

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1063711158
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
018592 Issued in NY
Legal business name
HEALING DYNAMICS CORP
Practice address
594 Broadway RM 1207
594 Broadway, Suite 1207
New York, NY 10012-3289
Phone
(646) 929-3209
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Miss Caroline Konnoth, P.T.
Title
Physical Therapist
Phone
(646) 929-3209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 018592 NY Primary

Addresses

Primary practice location

594 Broadway RM 1207
594 Broadway, Suite 1207
New York, NY 10012-3289

Mailing address

594 Broadway, Suite 1207
594 Broadway, Suite 1207
New York, NY 10012
Phone (646) 929-3209

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1063711158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 BROADWAY, SUITE 1207",
            "address_2": "594 BROADWAY, SUITE 1207",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10012",
            "telephone_number": "646-929-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 BROADWAY RM 1207",
            "address_2": "594 BROADWAY, SUITE 1207",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123289",
            "telephone_number": "646-929-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING DYNAMICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "KONNOTH",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-929-3209",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "018592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.