Organization Active NPI

Whole Body Physical Therapy

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1346667789
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028818-1 Issued in NY
Legal business name
WHOLE BODY PHYSICAL THERAPY
Practice address
4319 Church Ave
Brooklyn, NY 11203-3101
Phone
(347) 351-5869
Fax
(347) 405-9975
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Adesola Abigail Tella, DPTNPI 1336355080
Title
Ceo, DPT
Phone
(347) 351-5869

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 028818-1 NY Primary

Addresses

Primary practice location

4319 Church Ave
Brooklyn, NY 11203-3101

Mailing address

353A Monroe St
Brooklyn, NY 11221-1104
Phone (347) 351-5869

National Provider Directory

National Provider Directory

Locations

4319 Church Ave
Brooklyn, NY 11203
Phone (347) 351-5869

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": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1346667789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353A MONROE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211104",
            "telephone_number": "347-351-5869",
            "fax_number": "347-405-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033101",
            "telephone_number": "347-351-5869",
            "fax_number": "347-405-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "TELLA",
        "authorized_official_first_name": "ADESOLA",
        "authorized_official_middle_name": "ABIGAIL",
        "authorized_official_title_or_position": "CEO, DPT",
        "authorized_official_telephone_number": "347-351-5869",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028818-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.