Healthcare Provider Details

I. General information

NPI: 1104748110
Provider Name (Legal Business Name): WENDY PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 DUTCHESS BLVD
ATLANTIC BEACH NY
11509-1222
US

IV. Provider business mailing address

68 DUTCHESS BLVD
ATLANTIC BEACH NY
11509-1222
US

V. Phone/Fax

Practice location:
  • Phone: 516-448-5194
  • Fax:
Mailing address:
  • Phone: 516-448-5194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. WENDY OPPENHEIMER
Title or Position: DIRECTOR
Credential: DPT
Phone: 516-448-5194