Bay Wellness Program PT, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022504 Issued in NY

Legal business name

BAY WELLNESS PROGRAM PT, PLLC

Practice address

3495 Nostrand Ave
Maimonides Room
Brooklyn, NY 11229-5131

Phone

(718) 427-4845

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Vladislav Rudner

Title

Physical Therapist

Phone

(718) 427-4845

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Maria Corazon Cartabio, PT

  • Physical Therapist
  • Jamaica, NY
  • NPI 1790005965
  NPD (past)
• Sharon Era Mayol

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1740502079
  NPD (past)
• John Manuel Chan Noceda, PT

  • Physical Therapist
  • New York, NY
  • NPI 1124068648
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1730338559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 85TH ST",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143212",
            "telephone_number": "718-427-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 NOSTRAND AVE",
            "address_2": "MAIMONIDES ROOM",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295131",
            "telephone_number": "718-427-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY WELLNESS PROGRAM PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "RUDNER",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-427-4845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bay-Care Pharmacy LLC
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• Sean Bay, CRNA
• Axel Darley Rops Bayard, LPN
• Sarit Bayaz

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Sep 17, 2008; 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.