Active NPI
Stella's Rehabilitation Wellness PT PC
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1972878189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032199
- Legal business name
- STELLA'S REHABILITATION WELLNESS PT PC
- Practice address
- 3044 Coney Island Ave
Brooklyn, NY 11235-5660 - Phone
- (718) 781-0390
- NPI assigned
- Mar 21, 2012
- 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
- Stella Dvorin, DPT
- Title
- Owner/President
- Phone
- (718) 871-0390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032199 | NY | Primary |
Addresses
Primary practice location
3044 Coney Island Ave
Brooklyn, NY 11235-5660
Mailing address
7508 Avenue T FL 3
Brooklyn, NY 11234-6207
Phone (718) 781-0390
National Provider Directory
National Provider DirectoryLocations
14843 Hillside Ave
Frnt
Jamaica, NY 11435
Phone (718) 781-0390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- North Brunswick, NJ
- NPI 1821339102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332288000000",
"number": "1972878189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7508 AVENUE T FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346207",
"telephone_number": "718-781-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355660",
"telephone_number": "718-781-0390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLA'S REHABILITATION WELLNESS PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A",
"authorized_official_last_name": "DVORIN",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "718-871-0390",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "032199",
"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 Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.