Organization Active NPI

Grzegorz Wolski PT PC

  • Physical Therapist
  • Ridgewood, NY
National Provider Identifier
1467641209
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023168 Issued in NY
Legal business name
GRZEGORZ WOLSKI PT PC
Practice address
7002 Fresh Pond Rd
Ridgewood, NY 11385-5902
Phone
(718) 381-3373
Fax
(718) 381-3378
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Grzegorz Wolski, PTNPI 1447456314
Title
President
Phone
(917) 723-5824

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 023168 NY Primary

Addresses

Primary practice location

7002 Fresh Pond Rd
Ridgewood, NY 11385-5902

Mailing address

11115 75TH Ave
Suite 40
Forest Hills, NY 11375-6327
Phone (917) 723-5824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000702 NY Part B Supplier - Clinic/Group Practice 5193809945 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Ridgewood, NY

National Provider Directory

National Provider Directory

Locations

1201 Broadway
Ste 711
New York, NY 10001
Phone (212) 532-2449

7002 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 381-3377

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1467641209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 75TH AVE",
            "address_2": "SUITE 40",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756327",
            "telephone_number": "917-723-5824",
            "fax_number": "718-575-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855902",
            "telephone_number": "718-381-3373",
            "fax_number": "718-381-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRZEGORZ WOLSKI PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "WOLSKI",
        "authorized_official_first_name": "GRZEGORZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-723-5824",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.