Organization Active NPI

Partners in Physical Rehabilitation and Wellness Inc.

  • Physical Medicine & Rehabilitation Physician
  • Valley Stream, NY
National Provider Identifier
1841717568
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5179817 Issued in NY
Legal business name
PARTNERS IN PHYSICAL REHABILITATION AND WELLNESS INC.
Practice address
133 Woodlawn Ave
Valley Stream, NY 11581-1331
Phone
(718) 930-7447
NPI assigned
Aug 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Reynaldo Castro Ocampo, RN
Title
Chief Operating Officer
Phone
(718) 930-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5179817 NY Primary

Addresses

Primary practice location

133 Woodlawn Ave
Valley Stream, NY 11581-1331

Mailing address

133 Woodlawn Ave
Valley Stream, NY 11581-1331
Phone (718) 930-7447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841717568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WOODLAWN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811331",
            "telephone_number": "718-930-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WOODLAWN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811331",
            "telephone_number": "718-930-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN PHYSICAL REHABILITATION AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "CASTRO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "718-930-7447",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "5179817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.