Beshowy Wanis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01883700 Issued in NJ

Practice address

1039 Avenue C
Bayonne, NJ 07002-3217

Phone

(201) 600-9488

NPI assigned

Sep 25, 2019

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Opt Rehab LLC

  • Physical Therapist
  • Bayonne, NJ
  • NPI 1043079254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1245881853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 W 39TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022928",
            "telephone_number": "201-600-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023217",
            "telephone_number": "201-600-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANIS",
        "first_name": "BESHOWY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01883700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #15368)
• Walgreen Co (Walgreens #05463)
• Walgreen Co (Rite Aid #514)
• Walgreens
• Hayoung Kim Wang, DO
• Clifford Jay Weinstein, DDS
• Naa Wellington
• Wellness Medequip
• Wendy Orellana LPC LLC
• Eli Wercberger, DO

• Physical Therapist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.