Organization Active NPI

State Wellness Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1710795505
Registry record updated Dec 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STATE WELLNESS PHYSICAL THERAPY PC
Doing business as
State Wellness Physical Therapy PC
Practice address
303 5TH Ave RM 702
New York, NY 10016-6684
Phone
(646) 875-1581
NPI assigned
Dec 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2024

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

Authorized official

Name
Hyunju Yoo, PHYSICAL THERAPY
Title
Present
Phone
(646) 875-1581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

303 5TH Ave RM 702
New York, NY 10016-6684

Mailing address

303 5TH Ave RM 702
New York, NY 10016-6684
Phone (646) 875-1581

Other names 1

  • STATE WELLNESS PHYSICAL THERAPY PC Doing business as

National Provider Directory

National Provider Directory

Locations

303 5th Ave
Rm 702
New York, NY 10016
Phone (646) 875-1581

NPI Registry JSON

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735084800000",
    "number": "1710795505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166684",
            "telephone_number": "646-875-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166684",
            "telephone_number": "646-875-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE WELLNESS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-25",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-25",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "HYUNJU",
        "authorized_official_title_or_position": "PRESENT",
        "authorized_official_telephone_number": "646-875-1581",
        "authorized_official_credential": "PHYSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STATE WELLNESS PHYSICAL THERAPY PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.