NPIMap

Organization Active NPI

Theracare & Wellness Physical Therapy,P.C

  • Physical Therapy Clinic/Center
  • Astoria, NY
National Provider Identifier
1871762682
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERACARE & WELLNESS PHYSICAL THERAPY,P.C
Practice address
3109 Newtown Ave
211
Astoria, NY 11102-1373
Phone
(718) 728-2277
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Edgardo Rafael Martes, PTNPI 1952570749
Title
Physical Therapist
Phone
(732) 925-9374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NY Primary

Addresses

Primary practice location

3109 Newtown Ave
211
Astoria, NY 11102-1373

Mailing address

3109 Newtown Ave
211
Astoria, NY 11102-1373

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, 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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1871762682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 NEWTOWN AVE",
            "address_2": "211",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 NEWTOWN AVE",
            "address_2": "211",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021373",
            "telephone_number": "718-728-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE & WELLNESS PHYSICAL THERAPY,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MARTES",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-925-9374",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.