NPIMap

Organization Active NPI

Home Physical Therapy and Wellness, P.C.

  • Physical Therapist
  • Farmingdale, NY
National Provider Identifier
1457342552
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019821 Issued in NY
Legal business name
HOME PHYSICAL THERAPY AND WELLNESS, P.C.
Practice address
54 Washington St
Nassau County
Farmingdale, NY 11735-2639
Phone
(516) 694-4426
Fax
(516) 694-4426
NPI assigned
Oct 30, 2005
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Ms. Jana Lori Herr, P.T.NPI 1710926910
Title
Physical Therapist/Owner
Phone
(516) 694-4426

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 019821 NY Primary

Addresses

Primary practice location

54 Washington St
Nassau County
Farmingdale, NY 11735-2639

Mailing address

54 Washington St
Nassau County
Farmingdale, NY 11735-2639
Phone (516) 694-4426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111019000121 NY Part B Supplier - Clinic/Group Practice 2769372812 Receives reassigned benefits from 1 practitioner
Practice locations: Farmingdale, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1130630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1457342552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WASHINGTON ST",
            "address_2": "NASSAU COUNTY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352639",
            "telephone_number": "516-694-4426",
            "fax_number": "516-694-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WASHINGTON ST",
            "address_2": "NASSAU COUNTY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352639",
            "telephone_number": "516-694-4426",
            "fax_number": "516-694-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PHYSICAL THERAPY AND WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-30",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "LORI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "516-694-4426",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.