Active NPI
Helene Wicentowski, DPT
- Physical Therapist
- Bronx, NY
National Provider Identifier
1114575214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1250 Waters PL Ste 501
Bronx, NY 10461-2732 - Phone
- (718) 409-9444
- NPI assigned
- Sep 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1250 Waters PL Ste 501
Bronx, NY 10461-2732
Mailing address
160 Bennett Ave Apt 2E
New York, NY 10040-3808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Dean Dr
Suite 1N
Tenafly, NJ 07670-2764
Phone (201) 503-7173
7 -04 Elaine Ter
Fair Lawn, NJ 07410-5710
Phone (347) 409-5754
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Prime Orthopedic Rehabilitation
- Physical Therapist
- Tenafly, NJ
- NPI 1740690627
-
- Physical Therapy Clinic/Center
- Fair Lawn, NJ
- NPI 1720726144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567296000000",
"number": "1114575214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BENNETT AVE APT 2E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100403808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 WATERS PL STE 501",
"city": "BRONX",
"state": "NY",
"postal_code": "104612732",
"telephone_number": "718-409-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICENTOWSKI",
"first_name": "HELENE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-01",
"last_updated": "2019-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.