Active NPI
Divine Therapy and Wellness Ar,PLLC
- Physical Medicine & Rehabilitation Physician
- Fort Smith, AR
National Provider Identifier
1689365959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- DIVINE THERAPY AND WELLNESS AR,PLLC
- Practice address
- 1422 Fresno St
Fort Smith, AR 72901-7065 - Phone
- (718) 249-6048
- NPI assigned
- May 17, 2023
- Last updated
- May 17, 2023
- 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
- Alan Berkovitch, DPT
- Title
- President
- Phone
- (718) 249-6048
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 Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
1422 Fresno St
Fort Smith, AR 72901-7065
Mailing address
794 Arbuckle Ave
Woodmere, NY 11598-2706
Phone (718) 249-6048
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
- Brooklyn, NY
- NPI 1528365244
-
- Home Health Agency
- Staten Island, NY
- NPI 1427882729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1689365959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "794 ARBUCKLE AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982706",
"telephone_number": "718-249-6048",
"fax_number": "718-228-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 FRESNO ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729017065",
"telephone_number": "718-249-6048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE THERAPY AND WELLNESS AR,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "BERKOVITCH",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-249-6048",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.