Physical Therapy Wellness, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY WELLNESS, PLLC

Practice address

201 Dolson Ave Ste H
Middletown, NY 10940-6576

Phone

(845) 343-0292

Fax

(845) 343-8759

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Eleanore Robles, PT, DPTNPI 1275711814

Title

Owner

Phone

(845) 343-0292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Eleanore B Robles

  • Physical Therapist
  • Middletown, NY
  • NPI 1275711814
  Medicare reassignment Care Compare group NPD Authorized official
• Cecilia C Mary

  • Physical Therapist
  • Middletown, NY
  • NPI 1376870428
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1760026629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOLSON AVE STE H",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406576",
            "telephone_number": "845-343-0292",
            "fax_number": "845-343-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOLSON AVE STE H",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406576",
            "telephone_number": "845-343-0292",
            "fax_number": "845-343-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "ELEANORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-343-0292",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara G Phillips, PA
• Jezzreel Fabillar Phillips, FNP-BC
• Jai Phillis
• Physical Medicine & Diagnostic Testing PC
• Physical Therapy & Chiropractic of Middletown, PLLC
• Sabai Phyu, MD
• Tyrie Pickett
• Michael Joseph Piecuch, M.D.
• Nakisha Yvette Pierce, FNP
• Stacey Linette Pierce, LSW

• Physical Therapist in Middletown, NY
• Providers in Middletown, 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 Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.