Organization Active NPI

J.G.Wellness Physical Therapy,PC

  • Physical Therapist
  • Plainview, NY
National Provider Identifier
1851486526
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
J.G.WELLNESS PHYSICAL THERAPY,PC
Practice address
4 Pasadena Dr
Plainview, NY 11803-3706
Phone
(516) 931-2780
Fax
(516) 938-1129
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Mr. Jaroslaw Adam Solomianko, DPTNPI 1174618904
Title
President
Phone
(516) 476-1130

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4 Pasadena Dr
Plainview, NY 11803-3706

Mailing address

4 Pasadena Dr
Plainview, NY 11803-3706
Phone (516) 931-2780

Other names 1

  • J.G.WELLNESS PT,PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130506000004 NY Part B Supplier - Clinic/Group Practice 9931099926 Receives reassigned benefits from 1 practitioner
Practice locations: Plainview, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1851486526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PASADENA DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033706",
            "telephone_number": "516-931-2780",
            "fax_number": "516-938-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PASADENA DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033706",
            "telephone_number": "516-931-2780",
            "fax_number": "516-938-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.G.WELLNESS PHYSICAL THERAPY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "SOLOMIANKO",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-476-1130",
        "authorized_official_name_prefix": "Mr.",
        "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": [
        {
            "organization_name": "J.G.WELLNESS PT,PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.