Active NPI
Reena Wolnek, PT, DPT
- Physical Therapist
- Melville, NY
National Provider Identifier
1730801424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049484-01
- Practice address
- 68 S Service Rd
Melville, NY 11747-2354 - Phone
- (215) 630-3053
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049484-01 | NY | Primary |
Addresses
Primary practice location
68 S Service Rd
Melville, NY 11747-2354
Mailing address
6709 McCallum St
Philadelphia, PA 19119-3148
Phone (215) 630-3053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049484-01 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1730801424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6709 MCCALLUM ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193148",
"telephone_number": "215-630-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 S SERVICE RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472354",
"telephone_number": "215-630-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLNEK",
"first_name": "REENA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049484-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.