Small Wonders Physical Therapy, P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

013271-1 Issued in NY

Legal business name

SMALL WONDERS PHYSICAL THERAPY, P.C.

Practice address

45 Pondfield Rd W
Apt. 2K
Bronxville, NY 10708-2955

Phone

(914) 772-6889

NPI assigned

Jan 21, 2017

Last updated

Jan 21, 2017By 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

Lissa Adeline Santos

Title

President

Phone

(914) 772-6889

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Lissa Adeline Tuason Santos, P.T.

  • Physical Therapist
  • Bronxville, NY
  • NPI 1801049085
  NPD (past)

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484956800000",
    "number": "1568909174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PONDFIELD RD W",
            "address_2": "APT. 2K",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107082955",
            "telephone_number": "914-772-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PONDFIELD RD W",
            "address_2": "APT. 2K",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107082955",
            "telephone_number": "914-772-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL WONDERS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-21",
        "last_updated": "2017-01-21",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LISSA",
        "authorized_official_middle_name": "ADELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-772-6889"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "013271-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Silverman, M.D.
• Sotiria Simeonidis, PA-C
• Mark Benjamin Simmons, LCSW-R
• Guneet Singh, AGACNP
• Rishi R Singh
• Stephanie Smith-Marrone, M.D.
• McCarthy George Smith, M.D.
• Rushelle Smyle, PA
• James Patrick Smyth, MD
• Dana Marie Snavely, PA-C

• Early Intervention Provider Agency in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; 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.