Organization Active NPI

Opulent Physical Therapy

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1245069384
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPULENT PHYSICAL THERAPY
Practice address
9602 Avenue L
Brooklyn, NY 11236-4813
Phone
(917) 873-6304
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Sheika Tiffany Hecker, PT
Title
Physical Therapist
Phone
(917) 873-6304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9602 Avenue L
Brooklyn, NY 11236-4813

Mailing address

84 Mohawk TRL
Albrightsville, PA 18210-3925
Phone (516) 763-0046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1245069384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 MOHAWK TRL",
            "city": "ALBRIGHTSVILLE",
            "state": "PA",
            "postal_code": "182103925",
            "telephone_number": "516-763-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364813",
            "telephone_number": "917-873-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "SHEIKA",
        "authorized_official_middle_name": "TIFFANY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-873-6304",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.