Organization Active NPI

Holistic Wellbeing

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1073919536
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036209 Issued in NY
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

Updated by the provider on Nov 11, 2014

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.