NPIMap

Organization Active NPI

Achieve Physical Therapy and Wellness

  • Physical Therapist
  • North Bellmore, NY
National Provider Identifier
1811050818
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015585-1 Issued in NY
Legal business name
ACHIEVE PHYSICAL THERAPY AND WELLNESS
Practice address
1651 Bellmore Ave
North Bellmore, NY 11710-5526
Phone
(516) 781-1085
Fax
(516) 781-1013
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jonathan Adam Venegaas, P.T.
Title
Physical Therapist Owner
Phone
(516) 781-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 015585-1 NY Primary

Addresses

Primary practice location

1651 Bellmore Ave
North Bellmore, NY 11710-5526

Mailing address

1651 Bellmore Ave
North Bellmore, NY 11710-5526
Phone (516) 781-1085

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811050818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105526",
            "telephone_number": "516-781-1085",
            "fax_number": "516-781-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105526",
            "telephone_number": "516-781-1085",
            "fax_number": "516-781-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENEGAAS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "516-781-1085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015585-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.