Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Wellness of Wall Street Physical Therapy, PC

Organization Physical Therapist · NPI 1881401107

Wellness of Wall Street Physical Therapy, PC provides Physical Therapist services in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
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

42 Broadway Ste 1219
New York, NY 10004-3834
Phone: (929) 412-2654
Fax: (929) 412-2686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1881401107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donghwan Park — President · (929) 412-2654
NPI enumeratedDecember 11, 2024
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address42 Broadway Ste 1219, New York, NY 10004-3834

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