Organization Active NPI

Wolff Performance Physical Therapy PLLC

  • Physical Therapist
  • Huntington Station, NY
National Provider Identifier
1306601786
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WOLFF PERFORMANCE PHYSICAL THERAPY PLLC
Practice address
69 E 24TH St
Huntington Station, NY 11746-3703
Phone
(631) 624-3721
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Ryan Joseph Wolff, DPTNPI 1457067555
Title
Owner and DPT
Phone
(631) 624-3721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

69 E 24TH St
Huntington Station, NY 11746-3703

Mailing address

69 E 24TH St
Huntington Station, NY 11746-3703
Phone (631) 624-3721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250506003138 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052847829 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Station, NY

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.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1306601786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 E 24TH ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463703",
            "telephone_number": "631-624-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 E 24TH ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463703",
            "telephone_number": "631-624-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFF PERFORMANCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER AND DPT",
        "authorized_official_telephone_number": "631-624-3721",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.