Organization Active NPI

Aqua Worldwide Corp.

  • Physical Therapy Clinic/Center
  • Flushing, NY
National Provider Identifier
1336500396
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
039731 Issued in NY
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

Updated by the provider on Mar 17, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.