Achieve Wellness PT OT PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ACHIEVE WELLNESS PT OT PLLC

Doing business as

Achieve Wellness PT OT PLLC

Practice address

239 Boyle Rd Ste 3
Selden, NY 11784-1955

Phone

(631) 290-7400

NPI assigned

May 16, 2019

Last updated

Dec 26, 2019By 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

Juliette Doherty, OTNPI 1649431339

Title

Owner

Phone

(631) 290-7400

Specialties & licenses 3

Addresses

Other names 1

• Achieve Wellness PT OT PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Juliette Lyn Doherty, OTR/L

  • Occupational Therapist
  • Selden, NY
  • NPI 1649431339

  Pediatrics

  Medicare reassignment NPD Authorized official
• Natalie Louise Thompson, PT

  • Physical Therapist
  • Rocky Point, NY
  • NPI 1104900760
  Medicare reassignment NPD

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1467018291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BOYLE RD",
            "address_2": "STE 3",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841955",
            "telephone_number": "631-290-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BOYLE RD STE 3",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841955",
            "telephone_number": "631-290-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE WELLNESS PT OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-290-7400",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Wellness PT OT PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmed Abdeldayem, PT, DPT
• Muhammad Zeeshan Abid, PHARMD, RPH
• Daniel Acevedo
• Adam B Lesser MD PC
• Mary K Addessi
• Advanced Therapy Solutions
• Kristina Mercedes Aguirre
• Sandeep Akella, PHARM. D.

• Physical Medicine & Rehabilitation Physician in Selden, NY
• Providers in Selden, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.