NPIMap

Organization Active NPI

Wish Physical and Massage Therapies, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Huntington, NY
National Provider Identifier
1205132602
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
018565 Issued in NY
Legal business name
WISH PHYSICAL AND MASSAGE THERAPIES, PLLC
Practice address
16 High Oak CT
Huntington, NY 11743-4257
Phone
(516) 768-5334
NPI assigned
Feb 1, 2011
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Ms. Kathy SlakaNPI 1164508115
Title
Director
Phone
(516) 768-5334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 018565 NY Primary

Addresses

Primary practice location

16 High Oak CT
Huntington, NY 11743-4257

Mailing address

16 High Oak CT
Huntington, NY 11743-4257
Phone (516) 768-5334

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1205132602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HIGH OAK CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434257",
            "telephone_number": "516-768-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HIGH OAK CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434257",
            "telephone_number": "516-768-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISH PHYSICAL AND MASSAGE THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "SLAKA",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-768-5334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "018565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.