Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agewell Physical Therapy and Wellness, PC

Organization Physical Therapist · NPI 1861485070

Agewell Physical Therapy and Wellness, PC is a Physical Therapist in Lake Success, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1999 Marcus Ave Ste M15
Lake Success, NY 11042-1013
Phone: (516) 488-8808
Fax: (516) 488-8818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0155321 (NY)

Record details

NPI number1861485070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Herbrich — Co-Founder/ Physical Therapist · (516) 488-8808
NPI enumeratedAugust 24, 2005
Last updated in NPPESMarch 13, 2008
Mailing address1999 Marcus Ave, Suite M15, Lake Success, NY 11042-1013

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