Wonderful Motion Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WONDERFUL MOTION PHYSICAL THERAPY PC

Practice address

347 Ridgewood Ave
Staten Island, NY 10312-2117

Phone

(347) 465-0763

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Danilo Shane Decastro Badiola III, PTNPI 1619113156

Title

Physical Therapist

Phone

(347) 465-0763

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danilo Shane Decastro Badiola

  • Physical Therapist
  • New York, NY
  • NPI 1619113156
  NPD (past) Authorized official

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1114552353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 RIDGEWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122117",
            "telephone_number": "347-465-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 RIDGEWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122117",
            "telephone_number": "347-465-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL MOTION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "BADIOLA",
        "authorized_official_first_name": "DANILO SHANE",
        "authorized_official_middle_name": "DECASTRO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-465-0763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette V Wolny, PA-C
• Womens Healthcare of Si, PLLC
• Oluwaytoyin Womiloju, LPN
• DO Soo Won, DDS
• Wonderful Motion LLC
• Wilfremie M Wong-Tarley, RN, PTA
• Wing Mun Wong-Tom, PT, MS, OCS
• Alison Wong
• Anson Wong, DPT
• Christopher Andrew Wong

• Physical Therapy Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.