360 WELLNESS SOLUTIONS, LLC (NPI# 1447773825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447773825 |
| Entity Type | Organization |
| Organization Name | 360 WELLNESS SOLUTIONS, LLC |
| Practice Address |
194 Loch Lomond Rd Rancho Mirage CA 92270-5600 |
| Practice Telephone | 6266740361 |
| Mailing Telephone | 6266740361 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | DR. KATHERINE JOSEPHINE SULLIVAN (CEO) |
| Authorized Official Telephone | 6266740361 |
| Authorized Official Credential | PHD, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT14280 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CASH | 1285033878 | 01 |
| Street Address |
194 LOCH LOMOND RD |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285033878 | Katherine Josephine Sullivan | Physical Therapist | 194 Loch Lomond Rd, Rancho Mirage, CA 92270 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417355 | Aryana Carvalho-mires | Physical Therapist | 11500 W Olympic Blvd Ste 415, Los Angeles, CA 90064-1536 | 2020-08-10 |
| 1649899196 | Elisabeth Alisa Brown | Physical Therapist | 512 Acorn Ct, Scotts Valley, CA 95066-4582 | 2020-04-14 |
| 1861028029 | Darrell R Musick | Physical Therapist | 1033 Willow Lake Rd, Discovery Bay, CA 94505-9402 | 2020-03-19 |
| 1144851197 | Maxine Joyce | Physical Therapist | 15004 Innovation Dr # 4s-205, San Diego, CA 92128-3491 | 2020-01-29 |
| 1790293512 | Rachel Tran | Physical Therapist | 2356 N San Benito Ct, Claremont, CA 91711-1537 | 2018-01-15 |
| 1689189235 | Jill D See | Physical Therapist | 843 Health Sciences Rd Hewitt Hall 1331, Irvine, CA 92697-0001 | 2017-12-05 |
| 1528588423 | Nathan S. Hohsfield | Physical Therapist | 923 Millson Court, Galt, CA 95632-3402 | 2017-06-21 |
| 1578013561 | Xiaoyin Wang | Physical Therapist | 50 Lansing St Unit 508, San Francisco, CA 94105-4684 | 2016-10-13 |
| 1831646181 | Chelsea Richardson | Physical Therapist | 3848 W Carson St Ste 110, Torrance, CA 90503-6704 | 2016-09-03 |
| 1851788038 | Elline Rose Drilon Linterna | Physical Therapist | 2371 Shawn Dr, San Pablo, CA 94806-1658 | 2015-04-24 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on 360 WELLNESS SOLUTIONS, LLC.
| 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.