NPIMap

Organization Active NPI

Healing Therapeutics Physical Therapy PLLC

  • Physical Therapist
  • Port Chester, NY
National Provider Identifier
1144217415
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024127-1 Issued in NY
Legal business name
HEALING THERAPEUTICS PHYSICAL THERAPY PLLC
Practice address
30 N Main St
Suite 2
Port Chester, NY 10573-4256
Phone
(914) 939-3143
Fax
(914) 939-3120
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Enrique C Jinete, DPT
Title
Owner/Director
Phone
(914) 939-3143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 024127-1 NY Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 007634 CT

Addresses

Primary practice location

30 N Main St
Suite 2
Port Chester, NY 10573-4256

Mailing address

30 N Main St
Suite 2
Port Chester, NY 10573-4256
Phone (914) 939-3143

Other identifiers 1

IdentifierTypeStateIssuer
03448928MedicaidNY

National Provider Directory

National Provider Directory

Locations

1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820

2006 Five Mile Line Rd
Penfield, NY 14526
Phone (585) 381-0282

30 N Main St
Ste 2
Port Chester, NY 10573

52 S Hamilton St
Ste 18
Poughkeepsie, NY 12601

1323 Route 9
Ste 206
Wappingers Fl, NY 12590
Phone (845) 297-2225

Practitioners & affiliated clinicians

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1144217415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734256",
            "telephone_number": "914-939-3143",
            "fax_number": "914-939-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734256",
            "telephone_number": "914-939-3143",
            "fax_number": "914-939-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING THERAPEUTICS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "JINETE",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "914-939-3143",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024127-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03448928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.