Whole Body Wellness Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01273300 Issued in NJ

Legal business name

WHOLE BODY WELLNESS PHYSICAL THERAPY LLC

Practice address

139 South St
Suite 201
New Providence, NJ 07974-1999

Phone

(908) 361-1113

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Yuchin Chang, PTNPI 1891863593

Title

Managing Director

Phone

(973) 216-1679

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Yuchin Chang, DPT

  • Physical Therapist
  • New Providence, NJ
  • NPI 1891863593
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1811359565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SOUTH ST",
            "address_2": "SUITE 201",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741999",
            "telephone_number": "908-361-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SOUTH ST",
            "address_2": "SUITE 201",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741999",
            "telephone_number": "908-361-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY WELLNESS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YUCHIN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "973-216-1679",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01273300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vos, OT
• Andrea Jeanne Walter, M.D.
• Matthew Brian Wasser, M.D.
• Edward George Watson Jr., LCSW
• Wellness Matters Psychiatry LLC
• Madison Blake Winkler, LAC
• Rosa Maria Wippich
• Patricia Wissen, LCSW
• Judith Ilene Wollack-Letson, LCSW
• Charissa J Wong, MD

• Physical Therapist in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.