Tina Danielle Vieitez, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01942200 Issued in NJ

Practice address

9 Summit Ave
Elmwood Park, NJ 07407-1529

Phone

(201) 773-9700

Fax

(201) 773-9701

NPI assigned

Oct 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1295452399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SUMMIT AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071529",
            "telephone_number": "201-773-9700",
            "fax_number": "201-773-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SUMMIT AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071529",
            "telephone_number": "201-773-9700",
            "fax_number": "201-773-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEITEZ",
        "first_name": "TINA",
        "middle_name": "DANIELLE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01942200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "onpointwellness@optimum.net",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "9 Summit Ave",
            "city": "Elmwood Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074071529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jiangrong Wang

• Physical Therapist in Elmwood Park, NJ
• Providers in Elmwood Park, 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 Oct 20, 2022; 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.