Wellness Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017460 Issued in NY

Legal business name

WELLNESS PHYSICAL THERAPY PC

Practice address

4226 3Rd Ave
Bronx, NY 10457-4502

Phone

(347) 591-4141

Fax

(347) 591-4140

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Tarek Erfan, PTNPI 1871905349

Title

President

Phone

(347) 591-4141

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tarek Erfan

  • Physical Therapist
  • Bronx, NY
  • NPI 1871905349
  NPD (past) Authorized official
• Amro Mohamed

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1285199208
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1659787265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 LINCOLN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065441",
            "telephone_number": "347-591-4141",
            "fax_number": "347-591-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574502",
            "telephone_number": "347-591-4141",
            "fax_number": "347-591-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "ERFAN",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-591-4141",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "017460",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Drugs Corp
• Wellness Fundamentals Inc.
• Wellness Market
• Wellness Medical Assoc., P.C.
• Wellness Medical Supply Corp.
• Wellness Registered Nursing, P.C.
• Anthony Wells Agard
• Abiola M Wells, LPN
• Audrian Marie Wells, NP
• Marta Wells, LCSW

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.