Individual provider Active NPI

Wilrochelle Bernales Salkin, PT

  • Pediatric Physical Therapist
  • New York, NY
National Provider Identifier
1215059589
Registry record updated Mar 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
021193 Issued in NY
Practice address
131 E 104TH St
New York, NY 10029-4921
Phone
(212) 860-5831
Fax
(212) 860-8844
NPI assigned
Apr 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00994100 NJ
Physical Therapist 225100000X 05006074A IN
Physical Therapist 225100000X 000040 GU
Pediatric Physical Therapist 2251P0200X 021193 NY Primary

Addresses

Primary practice location

131 E 104TH St
New York, NY 10029-4921

Mailing address

131 E 104TH St
New York, NY 10029-4921
Phone (212) 860-5831

Other names 1

  • Wilrochelle Boligor Bernales Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000040GUMDPhysical Therapist
05006074AINMDPhysical Therapist
40QA00994100NJMDPhysical Therapist
021193NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332028800000",
    "number": "1215059589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E 104TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294921",
            "telephone_number": "212-860-5831",
            "fax_number": "212-860-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E 104TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294921",
            "telephone_number": "212-860-5831",
            "fax_number": "212-860-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKIN",
        "first_name": "WILROCHELLE",
        "middle_name": "BERNALES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2012-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00994100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006074A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GU",
            "license": "000040",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "021193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILROCHELLE",
            "last_name": "BERNALES",
            "middle_name": "BOLIGOR",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2012; 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.