Active NPI
Wholistic Physical Therapy, PC
- Physical Therapist
- Brewster, NY
National Provider Identifier
1871781641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- NYS 016861-1
- Legal business name
- WHOLISTIC PHYSICAL THERAPY, PC
- Practice address
- 1591 Route 22
Brewster, NY 10509-4026 - Phone
- (845) 940-1050
- Fax
- (845) 940-1051
- NPI assigned
- Oct 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott W Van Niekerk, P.T.
- Title
- Owner
- Phone
- (845) 940-1050
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NYS 016861-1 | NY | Primary |
Addresses
Primary practice location
1591 Route 22
Brewster, NY 10509-4026
Mailing address
1591 Route 22
Brewster, NY 10509-4026
Phone (845) 940-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9 E 45th St
New York, NY 10017
Phone (917) 941-0637
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Brewster, NY
- NPI 1881692309
-
- Physical Therapist
- Pelham, NY
- NPI 1952675662
-
- Clinical Social Worker
- Brewster, NY
- NPI 1154416832
-
- Internal Medicine Physician
- Brewster, NY
- NPI 1093897118
-
- Physical Therapist
- Cincinnati, OH
- NPI 1275727505
-
- Physical Therapist
- Chino Hills, CA
- NPI 1326149584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426723200000",
"number": "1871781641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1591 ROUTE 22",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094026",
"telephone_number": "845-940-1050",
"fax_number": "845-940-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1591 ROUTE 22",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094026",
"telephone_number": "845-940-1050",
"fax_number": "845-940-1051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLISTIC PHYSICAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2015-03-19",
"status": "A",
"authorized_official_last_name": "VAN NIEKERK",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-940-1050",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "NYS 016861-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.