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

Well Street Occupational Therapy, PLLC

Organization Physical Therapy Clinic/Center · NPI 1063051456

Well Street Occupational Therapy, PLLC is a Physical Therapy Clinic/Center in Woodside, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3960 54th St Apt 7P
Woodside, NY 11377-4217
Phone: (347) 832-8012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1063051456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsay Um — Occupational Therapist · (347) 832-8012
NPI enumeratedJanuary 2, 2020
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address3960 54th St Apt 7p, Woodside, NY 11377-4217

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