Organization Active NPI

Whole Body Physical Therapy, PLLC

  • Physical Therapist
  • Glen Cove, NY
National Provider Identifier
1447728522
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WHOLE BODY PHYSICAL THERAPY, PLLC
Practice address
220B Glen Cove Ave
Glen Cove, NY 11542-4142
Phone
(516) 387-6239
NPI assigned
Nov 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Eric Kim, DPT
Title
Owner/Physical Therapist
Phone
(516) 387-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

220B Glen Cove Ave
Glen Cove, NY 11542-4142

Mailing address

220B Glen Cove Ave
Glen Cove, NY 11542-4142
Phone (516) 387-6239

National Provider Directory

National Provider Directory

Locations

220B Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 387-6239

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1447728522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220B GLEN COVE AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115424142",
            "telephone_number": "516-387-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220B GLEN COVE AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115424142",
            "telephone_number": "516-387-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-387-6239",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.