NPIMap

Organization Active NPI

Sara Mikulsky Wellness Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1568089357
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SARA MIKULSKY WELLNESS PHYSICAL THERAPY, PLLC
Practice address
341 E 116TH St
New York, NY 10029-1502
Phone
(650) 544-0116
NPI assigned
Jun 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Dr. Sara Eve Mikulsky, PTNPI 1255464269
Title
Owner
Phone
(650) 544-0116

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

341 E 116TH St
New York, NY 10029-1502

Mailing address

341 E 116TH St
New York, NY 10029-1502
Phone (650) 544-0116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1568089357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291502",
            "telephone_number": "650-544-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291502",
            "telephone_number": "650-544-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA MIKULSKY WELLNESS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "MIKULSKY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-544-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.