Organization Active NPI

Stella's Rehabilitation Wellness PT PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1972878189
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032199 Issued in NY
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

Updated by the provider on Mar 21, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.