Healing Hands Physical Therapy & Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017470 Issued in NY

Legal business name

HEALING HANDS PHYSICAL THERAPY & WELLNESS PLLC

Practice address

3453 Richmond Ave
Suite 100
Staten Island, NY 10312-3219

Phone

(718) 317-9801

Fax

(718) 317-9802

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daegyun Kim, P.T.

Title

Physical Theraphist

Phone

(718) 317-9801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1922020031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 RICHMOND AVE",
            "address_2": "SUITE 100",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123219",
            "telephone_number": "718-317-9801",
            "fax_number": "718-317-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 RICHMOND AVE",
            "address_2": "SUITE 100",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123219",
            "telephone_number": "718-317-9801",
            "fax_number": "718-317-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS PHYSICAL THERAPY & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAEGYUN",
        "authorized_official_title_or_position": "PHYSICAL THERAPHIST",
        "authorized_official_telephone_number": "718-317-9801",
        "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": "017470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02646413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saroj Arvind Hazari, MD
• Susan Jane Hazelrig, CCC/SLP
• Amanda Hazzard
• William B Head Jr., MD
• Heads Held High, Inc.
• Healing Quest Physical Therapy, PC
• Healing Quest Rehabilitation Center, P.C.
• Healing Quest Rehabilitation Inc
• Healing Quest Wellness Center
• Healing Women at the Well Mentorship, LLC

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.