Inspire Physical Therapy Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INSPIRE PHYSICAL THERAPY WELLNESS PLLC

Practice address

9112 175TH St Apt 2B
Jamaica, NY 11432-5571

Phone

(347) 251-0690

NPI assigned

Jul 24, 2020

Last updated

Nov 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lessley ChackoNPI 1578866695

Title

Owner

Phone

(347) 251-0690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lessley Chacko

  • Physical Therapist
  • East Meadow, NY
  • NPI 1578866695
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1346859493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 E SALLY CT",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544520",
            "telephone_number": "347-251-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9112 175TH ST APT 2B",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325571",
            "telephone_number": "347-251-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1397 E Sally Ct",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115544520",
            "country_code": "US",
            "telephone_number": "347-251-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRE PHYSICAL THERAPY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "LESSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-251-0690"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Jamaica, NY
• Providers in Jamaica, 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 Nov 4, 2021; 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.