Organization Active NPI

Wonderful Motion LLC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1245728757
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016105 Issued in NY
Legal business name
WONDERFUL MOTION LLC
Practice address
347 Ridgewood Ave
Staten Island, NY 10312-2117
Phone
(347) 465-0763
NPI assigned
Apr 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Mr. Danilo Shane De Castro Badiola III, PHYSICAL THERAPISTNPI 1619113156
Title
PT
Phone
(347) 465-0763

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 TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 016105 NY Primary

Addresses

Primary practice location

347 Ridgewood Ave
Staten Island, NY 10312-2117

Mailing address

347 Ridgewood Ave
Staten Island, NY 10312-2117
Phone (347) 465-0763

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1245728757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 RIDGEWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122117",
            "telephone_number": "347-465-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 RIDGEWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122117",
            "telephone_number": "347-465-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL MOTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "BADIOLA",
        "authorized_official_first_name": "DANILO SHANE",
        "authorized_official_middle_name": "DE CASTRO",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "347-465-0763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.