Active NPI
Holistic Wellbeing
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1073919536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036209
- Legal business name
- HOLISTIC WELLBEING
- Practice address
- 9050 Parsons Blvd
Suite 410
Jamaica, NY 11432-6012 - Phone
- (718) 687-2474
- NPI assigned
- Nov 11, 2014
- 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
- Richard Suyosa, PT
- Title
- Physical Therapist
- Phone
- (718) 687-2474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036209 | NY | Primary |
Addresses
Primary practice location
9050 Parsons Blvd
Suite 410
Jamaica, NY 11432-6012
Mailing address
115 W 30TH St
Suite 500 B
New York, NY 10001-4010
Phone (212) 764-3924
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415664000000",
"number": "1073919536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W 30TH ST",
"address_2": "SUITE 500 B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014010",
"telephone_number": "212-764-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 PARSONS BLVD",
"address_2": "SUITE 410",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114326012",
"telephone_number": "718-687-2474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC WELLBEING",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-11",
"last_updated": "2014-11-11",
"status": "A",
"authorized_official_last_name": "SUYOSA",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "718-687-2474",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "036209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.