Active NPI
Dena Wanamaker
- Physical Therapist
- New City, NY
National Provider Identifier
1467883173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017503-1
- Practice address
- 350 S Main St
New City, NY 10956-3049 - Phone
- (845) 634-7500
- NPI assigned
- Dec 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017503-1 | NY | Primary |
Addresses
Primary practice location
350 S Main St
New City, NY 10956-3049
Mailing address
507 Airport Executive Park
Nanuet, NY 10954-5238
Phone (845) 262-5313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017503-1 | NY | MD | Physical Therapist |
| 017503 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Physical Therapy & Wellness, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Clayton, NC
- NPI 1881630358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1467883173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 AIRPORT EXECUTIVE PARK",
"city": "NANUET",
"state": "NY",
"postal_code": "109545238",
"telephone_number": "845-262-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S MAIN ST",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563049",
"telephone_number": "845-634-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANAMAKER",
"first_name": "DENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017503-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.