Jericho Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011044 Issued in NY

Legal business name

JERICHO WELLNESS LLC

Practice address

55 Jericho Tpke Ste 102
Jericho, NY 11753-1013

Phone

(516) 506-7888

Fax

(516) 833-6044

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Fumei ZhangNPI 1922500388

Title

Owner

Phone

(347) 827-7798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Fumei Zhang, MS

  • Massage Therapist
  • Jericho, NY
  • NPI 1922500388

  Single Specialty

  NPD Authorized official
• Richard Stephen Keohane Sr., P.T., D.P.T.

  • Physical Therapist
  • North Baldwin, NY
  • NPI 1003107269
  Medicare reassignment
• Phumlarp Phoromyen, LAC

  • Acupuncturist
  • New York, NY
  • NPI 1093384877
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1184071367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JERICHO TPKE STE 102",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531013",
            "telephone_number": "516-506-7888",
            "fax_number": "516-833-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 JERICHO TPKE STE 102",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531013",
            "telephone_number": "516-506-7888",
            "fax_number": "516-833-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "FUMEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-827-7798"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jericho Fire District
• Jericho Nephrology PLLC
• Jericho Orthodontics and Pediatric Dentistry
• Jericho Physical Therapy PC
• Jericho Ufsd
• Shama Jiang
• Ying Jin
• Joshi John Psychiatry PC
• Barbara Marie Juliano, M.D.
• Amitender Singh Kajla, PHARMD.

• Physical Therapist in Jericho, NY
• Providers in Jericho, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.