Wojciech Telacki, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022886 Issued in NY

Practice address

1010 Northern Blvd Ste 406
Great Neck, NY 11021-5330

Phone

(516) 365-8215

Fax

(516) 365-8296

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Sports Physical Therapy

  • Physical Therapist
  • Roslyn, NY
  • NPI 1689864472
  NPD Authorized official
• Li Health Services LCSW PLLC

  • Clinical Social Worker
  • Great Neck, NY
  • NPI 1437916186
  NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1710909668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 311",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215329",
            "telephone_number": "516-365-8215",
            "fax_number": "516-365-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 406",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215330",
            "telephone_number": "516-365-8215",
            "fax_number": "516-365-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELACKI",
        "first_name": "WOJCIECH",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-01-06",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Tedeschi, NP
• Lauren Taylor Tedesco, P.A.
• Davina Tehrani
• Kevin Tehrani, M.D.
• Talya Tehrani
• N. Lael Telfeyan, PH.D.
• Alexander Telis, MD
• Filip Teller, M.D.
• Krista Tesoriero, LMHC
• Sandee Thames, R.D.

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, 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 Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.