Fusion Physical Therapy Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15209 Issued in NY

Legal business name

FUSION PHYSICAL THERAPY WELLNESS

Practice address

1202 Lexington Ave
Suite 264
New York, NY 10028-1439

Phone

(917) 407-5309

NPI assigned

Apr 22, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jeanette Santos Calara, PT

Title

President

Phone

(917) 407-5309

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1750725719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LEXINGTON AVE",
            "address_2": "SUITE 264",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281439",
            "telephone_number": "917-407-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 LEXINGTON AVE",
            "address_2": "SUITE 264",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281439",
            "telephone_number": "917-407-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION PHYSICAL THERAPY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "CALARA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-407-5309",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "15209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Fusick, NP
• Thomas Francis Fusillo, DO, MS, MHA
• Fusion Apothecary LCC
• Fusion Apothecary LLC
• Fusion Physical Therapy and Sports Wellness P.C.
• Ellie Fussell, LMSW
• Ricardo Fuster, MHC
• Valentin Fuster, MD
• Julie Leigh Futrell, PH.D.
• Benjamin Futterman, DNP, PMHNP-BC

• Physical Therapist in New York, NY
• Providers in New York, 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 Apr 22, 2013; 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.