Ny Physical Therapy & Wellness, Melville, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

021022-1 Issued in NY

Legal business name

NY PHYSICAL THERAPY & WELLNESS, MELVILLE, PLLC

Practice address

535 Broadhollow Rd
Suite A10
Melville, NY 11747-3713

Phone

(631) 694-0005

Fax

(631) 694-0007

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald J Bredow, PT

Title

PT / Owner

Phone

(631) 694-0005

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1659476968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WALT WHITMAN RD STE 120",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473237",
            "telephone_number": "631-694-0005",
            "fax_number": "631-694-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BROADHOLLOW RD",
            "address_2": "SUITE A10",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473713",
            "telephone_number": "631-694-0005",
            "fax_number": "631-694-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PHYSICAL THERAPY & WELLNESS, MELVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "BREDOW",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PT / OWNER",
        "authorized_official_telephone_number": "631-694-0005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "021022-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "173738P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Q13V52",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Grace Nuzzi
• NVM Medical Equipement
• Ny Medical Providers, PLLC
• Ny Physiatry P.C.
• Ny Physical Therapy & Wellness
• Nyc Healthcare Medicine, PLLC
• Kelsey O'Brien
• Danielle O'Hagan
• Amy O'Hara
• Lisa Laura O'Keefe, L.C.S.W.

• Specialist in Melville, NY
• Providers in Melville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.