NPIMap

Organization Active NPI

Wellington Physical Therapy and Acupuncture PLLC

  • Clinic/Center
  • New York, NY
National Provider Identifier
1760807093
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WELLINGTON PHYSICAL THERAPY AND ACUPUNCTURE PLLC
Practice address
139 Centre St Ste 202
New York, NY 10013-4553
Phone
(212) 343-9398
Fax
(212) 343-3041
NPI assigned
Feb 24, 2014
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Ms. Nikki B Yu, ACUPUNCTURISTNPI 1881949774
Title
Office Manager
Phone
(917) 767-8868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

139 Centre St Ste 202
New York, NY 10013-4553

Mailing address

139 Centre St Ste 202
New York, NY 10013-4553
Phone (212) 343-9398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140616000901 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294959169 Receives reassigned benefits from 6 practitioners
Practice locations: Elmhurst, NY; Flushing, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

139 Centre St
Ste 202
New York, NY 10013
Phone (212) 343-9398

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1760807093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134553",
            "telephone_number": "212-343-9398",
            "fax_number": "212-343-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134553",
            "telephone_number": "212-343-9398",
            "fax_number": "212-343-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON PHYSICAL THERAPY AND ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-767-8868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.