Wyckoff Physical Therapy PC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WYCKOFF PHYSICAL THERAPY PC.

Practice address

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200

Phone

(718) 456-2543

Fax

(718) 559-6784

NPI assigned

Nov 30, 2015

Last updated

May 20, 2016By 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

Jenny Tan

Title

Billing & Collection Dept. Head

Phone

(718) 456-2543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1629442793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374840",
            "telephone_number": "718-821-9511",
            "fax_number": "718-559-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855200",
            "telephone_number": "718-456-2543",
            "fax_number": "718-559-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF PHYSICAL THERAPY PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "BILLING & COLLECTION DEPT. HEAD",
        "authorized_official_telephone_number": "718-456-2543"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodbine Medical PC
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• Debra Wunder
• Wyckoff Dental PC
• Xinyi TCM LLC (Food Therapy with Zoey)
• Yar Trading Corp (Pewex Pharmacy)
• Tristan Yarter, PT, DPT
• Yasik 2 Inc (Avonora pharmacy)
• Yasik 2 Inc (Avonora Pharmacy)

• Physical Therapy Clinic/Center in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.