Ny Physical Therapy & Wellness Levittown PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NY PHYSICAL THERAPY & WELLNESS LEVITTOWN PLLC

Practice address

650 Wantagh Ave Ste 2
Levittown, NY 11756-5390

Phone

(516) 520-7100

Fax

(516) 520-7625

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Miss Jennifer Joan Wach

Title

Office Max

Phone

(516) 520-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1285717207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WANTAGH AVE STE 2",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565390",
            "telephone_number": "516-261-9510",
            "fax_number": "516-520-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WANTAGH AVE STE 2",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565390",
            "telephone_number": "516-520-7100",
            "fax_number": "516-520-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PHYSICAL THERAPY & WELLNESS LEVITTOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "WACH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MAX",
        "authorized_official_telephone_number": "516-520-7200",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Levittown, NY
• Providers in Levittown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.