AGEWELL PHYSICAL THERAPY AND WELLNESS, P.C.
NPI 1861485070
Physical Therapist in Lake Success, NY

Active since August 24, 2005
1999 MARCUS AVE, SUITE M15, LAKE SUCCESS, NY 11042(516) 488-8808(516) 488-8818 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Agewell Physical Therapy And Wellness, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGEWELL PHYSICAL THERAPY AND WELLNESS, P.C. (NPI 1861485070) is a healthcare organization registered as a physical therapist in Lake Success, New York and active in the NPI registry since August 2005. The organization lists Mark Herbrich, Co-founder/ Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1861485070
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameAGEWELL PHYSICAL THERAPY AND WELLNESS, P.C.
Location Address1999 MARCUS AVE, SUITE M15Lake Success, NY 11042-1013
Mailing Address1999 Marcus Ave, Suite M15Lake Success, NY 11042-1013 · (516) 488-8808 · Fax (516) 488-8818
Fax(516) 488-8818
Organization SubpartNo
Authorized OfficialMark HerbrichCo-founder/ Physical Therapist · (516) 488-8808
Enumeration DateAugust 24, 2005
Last NPPES UpdateMarch 13, 2008
✔ NPI 1861485070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 0155321
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1999 MARCUS AVE, Lake Success, NY 11042

Other Identifiers 1

Medicare PINQ4WMJ1NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agewell Physical Therapy And Wellness, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Agewell Physical Therapy And Wellness, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Occupational Therapist in Private Practice
NPI 1437395001
1999 MARCUS AVE STE M15
Lake Success, NY 11042
(516) 488-8808
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1508011339
1999 MARCUS AVE STE M15
New Hyde Park, NY 11042
(516) 488-8808
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1699729590
1999 MARCUS AVE SUITE M15
Lake Success, NY 11042
(516) 488-8808
Same address
Physical Therapist in Private Practice
NPI 1316833874
1999 MARCUS AVE STE M15
North New Hyde Park, NY 11042
(516) 488-8808
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1619922952
1999 MARCUS AVE SUITE M15
Lake Success, NY 11042
(516) 488-8808
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1558791210
1999 MARCUS AVE
New Hyde Park, NY 11042
(516) 858-9157
Same address
Physical Therapist in Private Practice
NPI 1801834734
3244 31ST ST
Astoria, NY 11106
(718) 707-6970
✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agewell Physical Therapy And Wellness, P.C.'s NPI number?

The NPI number for Agewell Physical Therapy And Wellness, P.C. is 1861485070. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Agewell Physical Therapy And Wellness, P.C. located?

Agewell Physical Therapy And Wellness, P.C. is located at 1999 Marcus Ave Suite M15, Lake Success, NY 11042. The listed phone number is (516) 488-8808.

What is Agewell Physical Therapy And Wellness, P.C.'s specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Agewell Physical Therapy And Wellness, P.C. enrolled in Medicare?

Yes. Agewell Physical Therapy And Wellness, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agewell Physical Therapy And Wellness, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Agewell Physical Therapy And Wellness, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (6) and Occupational Therapist in Private Practice (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Agewell Physical Therapy And Wellness, P.C. was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.