Organization Active NPI

SP Physical Therapy Wellness, P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1073213476
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SP PHYSICAL THERAPY WELLNESS, P.C.
Practice address
139 Fulton Street, Suite # 208
New York, NY 10038-2538
Phone
(201) 377-8092
Fax
(845) 595-8220
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Dr. Sagar PatelNPI 1780109561
Title
Physical Therapist / Ceo
Phone
(201) 377-8092

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

139 Fulton Street, Suite # 208
New York, NY 10038-2538

Mailing address

139 Fulton Street, Suite # 208
New York, NY 10038-2538
Phone (201) 377-8092

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1073213476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FULTON STREET, SUITE # 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382538",
            "telephone_number": "201-377-8092",
            "fax_number": "845-595-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON STREET, SUITE # 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382538",
            "telephone_number": "201-377-8092",
            "fax_number": "845-595-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP PHYSICAL THERAPY WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAGAR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / CEO",
        "authorized_official_telephone_number": "201-377-8092",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 6, 2023; 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.