Active NPI
Therapro Wellness Physical Therapy, PLLC
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1548825623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- THERAPRO WELLNESS PHYSICAL THERAPY, PLLC
- Practice address
- 8931 161St St
Jamaica, NY 11432-6140 - Phone
- (646) 431-3097
- NPI assigned
- May 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roland Paqueo, DPT
- Title
- Co-President
- Phone
- (646) 431-3097
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
8931 161St St
Jamaica, NY 11432-6140
Mailing address
9245 53Rd Ave
Elmhurst, NY 11373-4624
Phone (646) 431-3097
National Provider Directory
National Provider DirectoryLocations
9245 53rd Ave
Elmhurst, NY 11373
Phone (718) 606-2022
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Elmhurst, NY
- NPI 1548306335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639440000000",
"number": "1548825623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9245 53RD AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734624",
"telephone_number": "646-431-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8931 161ST ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114326140",
"telephone_number": "646-431-3097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPRO WELLNESS PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-04",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A",
"authorized_official_last_name": "PAQUEO",
"authorized_official_first_name": "ROLAND",
"authorized_official_title_or_position": "CO-PRESIDENT",
"authorized_official_telephone_number": "646-431-3097",
"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 Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.