Organization Active NPI

Stellar Wellness Center Inc.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1851633309
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STELLAR WELLNESS CENTER INC.
Practice address
3001 Brighton 1St St
Brooklyn, NY 11235-8008
Phone
(347) 673-8729
Fax
(347) 673-8974
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Angelina Gordon, DPT
Title
Owner
Phone
(917) 775-3145

Specialties & licenses 1

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

Addresses

Primary practice location

3001 Brighton 1St St
Brooklyn, NY 11235-8008

Mailing address

2546 E 13TH St
Brooklyn, NY 11235-4358
Phone (347) 673-8729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1851633309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354358",
            "telephone_number": "347-673-8729",
            "fax_number": "347-673-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BRIGHTON 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358008",
            "telephone_number": "347-673-8729",
            "fax_number": "347-673-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-775-3145",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.