Active NPI
Deeper Well Physical Therapy PLLC
Doing business as Deeper Well PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1275234742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth S Opoka, PT DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- New York, NY
- NPI 1558908459
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.