Active NPI
State Wellness Physical Therapy PC
- Physical Therapy Clinic/Center
- New York, NY
National Provider Identifier
1710795505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Gabriel Stasyszyn, DPT
- Stat Medical Associates PLLC (Medhattan Immediate Medical Care)
- Stat Medical Care PC
- Stat Urology Medical Care PLLC
- State of New York Comptrollers Office (Suny College of Optometry/University Eye Center)
- Staten Island Physician Practice PC (AdvantageCare Physicians)
- Statera Psychiatry, P.C.
- Sara Mary Stathi
- Jacquelyn S Stathis, NP
- Station Physical Therapy (Manhattan Sports & Manual Physical Therapy)
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.