Active NPI
Living Well Lymphedema Physical Therapy PC
- Physical Therapist
- Yonkers, NY
National Provider Identifier
1629466974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LIVING WELL LYMPHEDEMA PHYSICAL THERAPY PC
- Practice address
- 679 Warburton Ave Apt 1P
Yonkers, NY 10701-1616 - Phone
- (914) 625-2291
- Fax
- (844) 611-0153
- NPI assigned
- Jan 8, 2015
- Last updated
- Jul 21, 2022
- 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
- Stacy Hinson-Austin, PT
- Title
- Co-Owner
- Phone
- (914) 625-2291
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
679 Warburton Ave Apt 1P
Yonkers, NY 10701-1616
Mailing address
679 Warburton Ave Apt 1P
Yonkers, NY 10701-1616
Phone (914) 625-2291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- New York, NY
- NPI 1962826099
-
- Physical Therapist
- Yonkers, NY
- NPI 1104102409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1629466974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 WARBURTON AVE APT 1P",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011616",
"telephone_number": "914-625-2291",
"fax_number": "844-611-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 WARBURTON AVE APT 1P",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011616",
"telephone_number": "914-625-2291",
"fax_number": "844-611-0153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING WELL LYMPHEDEMA PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HINSON-AUSTIN",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "914-625-2291",
"authorized_official_credential": "PT"
},
"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 Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.