Organization Active NPI

Stellar Physical & Occupational Therapy & Acupuncture, PLLC

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1366714081
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027453 Issued in NY
Legal business name
STELLAR PHYSICAL & OCCUPATIONAL THERAPY & ACUPUNCTURE, PLLC
Practice address
8709 Justice Ave
Elmhurst, NY 11373-4556
Phone
(718) 699-5070
Fax
(718) 699-5071
NPI assigned
Jan 27, 2012
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Andrew Nicholas Woolward, OTNPI 1154565687
Title
Occupational Therapist/Owner
Phone
(347) 512-5674

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027453 NY Primary
Physical Therapist 225100000X 035391 NY
Occupational Therapist 225X00000X 014057 NY

Addresses

Primary practice location

8709 Justice Ave
Elmhurst, NY 11373-4556

Mailing address

8709 Justice Ave
Elmhurst, NY 11373-4556
Phone (718) 699-5070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120815000201 NY Part B Supplier - Clinic/Group Practice 0547416141 Receives reassigned benefits from 3 practitioners
Practice locations: Elmhurst, NY; Plainview, NY

National Provider Directory

National Provider Directory
Tax ID family
Stellar Physical Occupational Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8709 Justice Ave
Ste 1
Elmhurst, NY 11373
Phone (718) 699-5070

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1366714081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 JUSTICE AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734556",
            "telephone_number": "718-699-5070",
            "fax_number": "718-699-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 JUSTICE AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734556",
            "telephone_number": "718-699-5070",
            "fax_number": "718-699-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR PHYSICAL & OCCUPATIONAL THERAPY & ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "WOOLWARD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "347-512-5674",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027453",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035391",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.