Active NPI
Aqua Worldwide Corp.
- Physical Therapy Clinic/Center
- Flushing, NY
National Provider Identifier
1336500396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 039731
- Legal business name
- AQUA WORLDWIDE CORP.
- Practice address
- 13347 Sanford Ave
Flushing, NY 11355-5800 - Phone
- (917) 683-5653
- NPI assigned
- Mar 17, 2016
- 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
- Weitung Su
- Title
- Physical Therapist Assistant
- Phone
- (646) 853-7792
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 039731 | NY | Primary |
Addresses
Primary practice location
13347 Sanford Ave
Flushing, NY 11355-5800
Mailing address
14210 Roosevelt Ave Apt 604
Flushing, NY 11354-6031
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458172800000",
"number": "1336500396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14210 ROOSEVELT AVE APT 604",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13347 SANFORD AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555800",
"telephone_number": "917-683-5653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AQUA WORLDWIDE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-17",
"last_updated": "2016-03-17",
"status": "A",
"authorized_official_last_name": "SU",
"authorized_official_first_name": "WEITUNG",
"authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
"authorized_official_telephone_number": "646-853-7792"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "039731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.