Active NPI
Wva Health
- Physical Therapist
- New York, NY
National Provider Identifier
1790440766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WVA HEALTH
- Practice address
- 131 Perry St
New York, NY 10014-6241 - Phone
- (848) 467-0383
- NPI assigned
- Nov 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osarumen Igbinosun, DPT
- Title
- Owner
- Phone
- (848) 467-0383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
131 Perry St
New York, NY 10014-6241
Mailing address
1521 Irving St
Rahway, NJ 07065-4035
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635984000000",
"number": "1790440766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 IRVING ST",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070654035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 PERRY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100146241",
"telephone_number": "848-467-0383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WVA HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A",
"authorized_official_last_name": "IGBINOSUN",
"authorized_official_first_name": "OSARUMEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "848-467-0383",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"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 Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.