Individual provider Active NPI

Helene Wicentowski, DPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1114575214
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Sep 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260331003402 NJ Practitioner - Physical Therapist in Private Practice 9234566746 Reassigns benefits to 2 organizations

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
Balanced Body Rehabilitation LLCGroup PAC ID 0749401016, 11 clinicians
Get Well Physical Therapy and WellnessGroup PAC ID 8325420797, 4 clinicians

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.

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.

Verify at the official NPI Registry.