PHYSICAL THERAPY WELLNESS GROUP (NPI# 1023677630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023677630 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY WELLNESS GROUP |
| Practice Address |
519 Sw Nagle Place Port Saint Lucie FL 34953 |
| Mailing Address |
10380 Sw Village Center Dr # 355 Port Saint Lucie FL 34987-1931 |
| Practice Telephone | 7722091183 |
| Mailing Telephone | 7722091183 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2020-05-23 |
| Authorized Official Name | DR. SPERANCIA ANNA WHITE (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 7722091183 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261Q00000X | 05 |
| Other Name | Type Code |
|---|---|
| Physical Therapy Wellness Group | Doing Business As Name - Organization |
| Street Address |
519 SW NAGLE PLACE |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| 1770001422 | Bd Care Giver and Companion Services | Adult Companion | 374 Sw Covington. Rd, Port St Lucie, FL 34953 | 2017-09-01 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053825133 | Expert Psychological Associates, LLC | Clinic/Center | 447 Nw Prima Vista Blvd, Port Saint Lucie, FL 34983-8731 | 2017-11-28 |
| 1326362179 | Brain Training Center of The Treasure Coast | Clinic/Center | 499 Nw Prima Vista Blvd, Suite 101, Port Saint Lucie, FL 34983-8786 | 2010-03-23 |
| 1245474238 | Grema Medical Services, LLC | Clinic/Center | 1362 Sw Bayshore Blvd, Port Saint Lucie, FL 34983 | 2009-04-22 |
| 1629256417 | Aaron M Shevlin Dpm Pa | Clinic/Center | 1696 Se Hillmoor Dr, Ste B, Port Saint Lucie, FL 34952-7699 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356455 | Holistic Care LLC | Clinic/Center | 1108 Kane Concourse Ste 205, Bay Harbor Islands, FL 33154-2068 | 2020-11-05 |
| 1417558651 | Eclipse Wellness Center | Clinic/Center | 3015 S Congress Ave Ste 7, Palm Springs, FL 33461-2111 | 2020-11-04 |
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1134729494 | Anchor Plus Wellness Center, LLC | Clinic/Center | 5951 Nw 151st St Ste 205, Miami Lakes, FL 33014-2445 | 2020-10-27 |
| 1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34953 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.