MEDICARE: STELLAR PHYSICAL & OCCUPATIONAL THERAPY & ACUPUNCTURE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	014057	NY
2	225100000X	Physical Therapist	035391	NY
3	225100000X	Physical Therapist	027453	NY

General Provider Information

NPI Number	:	1366714081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELLAR PHYSICAL & OCCUPATIONAL THERAPY & ACUPUNCTURE, PLLC

Provider Business Mailing Address
First Line	:	8709 JUSTICE AVE
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-4556
Country	:	US
Telephone Number	:	718-699-5070
Fax Number	:	718-699-5071

Provider Business Practice Location Address
First Line	:	8709 JUSTICE AVE
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-4556
Country	:	US
Telephone Number	:	718-699-5070
Fax Number	:	718-699-5071

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST/OWNER
Name	:	ANDREW NICHOLAS WOOLWARD
Credential	:	OT
Telephone Number	:	347-512-5674

Provider Enumeration Date	:	01/27/2012
Last Update Date	:	12/16/2025

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