Wallkill Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009042 Issued in NY

Legal business name

WALLKILL PHYSICAL THERAPY, PLLC

Practice address

1500 State Route 208
Wallkill, NY 12589-3712

Phone

(845) 895-9003

Fax

(845) 895-9006

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lori A. Schneider, PT

Title

Owner/Manager, Physical Therapist

Phone

(845) 895-9003

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Stephen Anthony Brune, D.C.

  • Orthopedic Chiropractor
  • Montgomery, NY
  • NPI 1073685673
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1215965397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125890336",
            "telephone_number": "845-895-9003",
            "fax_number": "845-895-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 STATE ROUTE 208",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893712",
            "telephone_number": "845-895-9003",
            "fax_number": "845-895-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLKILL PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/MANAGER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-895-9003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER #",
            "identifier": "1255379525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11574902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Angel Vega, MD
• Katherine Velez, PH.D.
• Louisner Victor
• Jennifer Wallingford, M.S., CCC-SLP
• Wallkill Central School District
• Wallkill Volunteer Ambulance Corp Inc
• Sheryl Washko
• Judith Liouse Wenz, LPN
• Shannon A Williams, RN
• Kenneth Abema Yeboah, M.D

• All providers in Wallkill, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.