Provider Demographics
NPI:1174953897
Name:HEALTHWELL PHYSICAL THERERAPY,PC.
Entity type:Organization
Organization Name:HEALTHWELL PHYSICAL THERERAPY,PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUNGHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-268-8886
Mailing Address - Street 1:7136 110TH ST
Mailing Address - Street 2:SUITE SP1
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4850
Mailing Address - Country:US
Mailing Address - Phone:718-268-8886
Mailing Address - Fax:718-268-8885
Practice Address - Street 1:7136 110TH ST
Practice Address - Street 2:SUITE SP1
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4850
Practice Address - Country:US
Practice Address - Phone:718-268-8886
Practice Address - Fax:718-268-8885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019941225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty