Ny Physical Therapy & Wellness Bohemia, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NY PHYSICAL THERAPY & WELLNESS BOHEMIA, PLLC

Practice address

1 Corporate Drive
Suite GL-1
Bohemia, NY 11716-2663

Phone

(631) 319-6911

Fax

(631) 319-6909

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Matthew S Perry, DPT

Title

Owner/Director

Phone

(631) 319-6911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald J Bredow, PT

  • Specialist
  • Levittown, NY
  • NPI 1720293905
  NPD (past)

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1306174198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DRIVE",
            "address_2": "SUITE GL-1",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162663",
            "telephone_number": "631-319-6911",
            "fax_number": "631-319-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DRIVE",
            "address_2": "SUITE GL-1",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162663",
            "telephone_number": "631-319-6911",
            "fax_number": "631-319-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PHYSICAL THERAPY & WELLNESS BOHEMIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "631-319-6911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Veronica Nickdow, L.P.N.
• Daniel D Nodiff, LMHC
• North Shore Orthotics-Prosthetics, LTD
• Northeast Ambulette Inc
• Carolyn Jean Nuccio
• Ny Shoreline Medical Services PLLC
• Nysarc Inc Suffolk Chapter
• Nysarc Inc Suffolk Chapter
• Nysarc Inc Suffolk Chapter
• Nysarc Inc Suffolk Chapter

• Physical Therapist in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.