Organization Active NPI

Wellness in Motion Physical Therapy PLLC

  • Physical Therapist
  • Northville, NY
National Provider Identifier
1639445679
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0268941 Issued in NY
Legal business name
WELLNESS IN MOTION PHYSICAL THERAPY PLLC
Practice address
174 South Main Street
Northville, NY 12134
Phone
(518) 848-6505
NPI assigned
Mar 23, 2012
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Mrs. Hanna Halloran, DPTNPI 1467486332
Title
Owner
Phone
(518) 848-6505

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0268941 NY Primary

Addresses

Primary practice location

174 South Main Street
Northville, NY 12134

Mailing address

468 County Highway 113
Northville, NY 12134-3749
Phone (518) 848-6505

National Provider Directory

National Provider Directory

Locations

174 S Main St
Northville, NY 12134
Phone (518) 848-6505

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1639445679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 COUNTY HIGHWAY 113",
            "city": "NORTHVILLE",
            "state": "NY",
            "postal_code": "121343749",
            "telephone_number": "518-848-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 SOUTH MAIN STREET",
            "city": "NORTHVILLE",
            "state": "NY",
            "postal_code": "12134",
            "telephone_number": "518-848-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS IN MOTION PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "HALLORAN",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-848-6505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0268941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.