WESTON PAXXON PT OT & SLP PLLC. NPI 1417993338

NPI Information

  • NPI: 1417993338
  • Provider Name: WESTON PAXXON PT, OT & SLP, PLLC.
  • Classification: Physical Therapist - 2251G0304X
  • Specialization: Geriatrics
  • Entity Type: Organization
  • Address: 11701 84TH AVE
    SUITE 915
    KEW GARDENS, NY
    ZIP 11418
  • Phone: (718) 441-0479

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NPI Details

WESTON PAXXON PT, OT & SLP, PLLC. is a geriatrics physical therapist in Kew Gardens, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult. WESTON PAXXON PT, OT & SLP, PLLC. NPI is 1417993338. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11701 84TH AVE
SUITE 915
KEW GARDENS, NY
ZIP 11418-420
Phone: (718) 441-0479
Fax: (718) 441-0479

The provider's authorized official is Roger Raymond Berkley .
The authorized official title is Executive Vp and has the following contact phone number (631) 467-3700.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 6/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251G0304XPhysical TherapistGeriatrics003194-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q7W6U1MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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