Organization Active NPI

Deeper Well Physical Therapy PLLC

Doing business as Deeper Well PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1275234742
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DEEPER WELL PHYSICAL THERAPY PLLC
Doing business as
Deeper Well PT
Practice address
433 7TH Ave Apt 4
Brooklyn, NY 11215-7310
Phone
(917) 586-3894
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Dr. Elizabeth S Opoka, PT DPTNPI 1558908459
Title
Dr. of Physical Therapy/Owner
Phone
(917) 586-3894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

433 7TH Ave Apt 4
Brooklyn, NY 11215-7310

Mailing address

433 7TH Ave Apt 4
Brooklyn, NY 11215-7310
Phone (917) 586-3894

Other names 1

  • DEEPER WELL PT Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1275234742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 7TH AVE APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157310",
            "telephone_number": "917-586-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 7TH AVE APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157310",
            "telephone_number": "917-586-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPER WELL PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "OPOKA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DR. OF PHYSICAL THERAPY/OWNER",
        "authorized_official_telephone_number": "917-586-3894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEEPER WELL PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 13, 2023; 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.