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1912791112 NPI number — WELLNESS THERAPY WORX

NPI Number: 1912791112
Health Care Provider/Practitioner: WELLNESS THERAPY WORX

Information about “1912791112” NPI (WELLNESS THERAPY WORX) exists in 1912791112 in HTML format HTML  |  1912791112 in plain Text format TXT  |  1912791112 in PDF (Portable Document Format) PDF  |  1912791112 in an XML format XML  formats.

NPI Number : 1912791112 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912791112",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WELLNESS THERAPY WORX",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27 PARK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ESSEX FELLS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07021-1107",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "27 PARK LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ESSEX FELLS",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07021-1107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "551-245-7255",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/04/2025",
    "LastUpdateDate": "04/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HONG",
    "AuthorizedOfficialFirstName": "JENNY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OTR/L",
    "AuthorizedOfficialTelephoneNumber": "626-242-5843",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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