ULTIMATE WELLNESS REHAB LLC (NPI# 1689011488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689011488 |
| Entity Type | Organization |
| Organization Name | ULTIMATE WELLNESS REHAB LLC |
| Practice Address |
18308 Murdock Cir Ste 107 Port Charlotte FL 33948-1025 |
| Practice Telephone | 9412065200 |
| Mailing Telephone | 9412065200 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | ENRIQUE LEMUS (OWNER) |
| Authorized Official Telephone | 9412065200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18308 MURDOCK CIR STE 107 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332387 | David M Kanuck | Podiatrist | 18308 Murdock Cir, Ste 102, Port Charlotte, FL 33948-1025 | 2006-01-30 |
| 1417360918 | 21st Century Oncology LLC | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2014-06-03 |
| 1700217460 | Bayshore Pathology Consultants Pa | Pathology | 18308 Murdock Cir, Ste 105, Port Charlotte, FL 33948-1025 | 2013-12-06 |
| 1467889667 | Genesiscare Usa of Florida LLC | Surgery | 18308 Murdock Cir, Suite 105, Port Charlotte, FL 33948-1025 | 2013-10-02 |
| 1033441001 | Alejandro J. Gruneiro M.d. P.a. | Specialist | 18308 Murdock Cir, 109, Port Charlotte, FL 33948-1008 | 2010-02-02 |
| 1427138239 | Karen Cagen Zusman | Occupational Therapist | 18308 Murdock Cir, Port Charlotte, FL 33948-1025 | 2006-10-16 |
| 1114962248 | Steven Bradley Goldin | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2006-06-20 |
| 1407819295 | Matthew R. Bagan | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2006-04-11 |
| 1588633549 | Alejandro J. Gruneiro | Surgery | 18308 Murdock Cir, 109, Port Charlotte, FL 33948-1008 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497296891 | Cody Bishop | Physical Therapy Assistant | 708 Bowman Ter, Port Charlotte, FL 33953-2133 | 2017-03-17 |
| 1710364666 | Joshua Chapman | Physical Therapy Assistant | 24041 Madaca Ln Unit 203, Port Charlotte, FL 33954-2821 | 2015-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1992078869 | Kenneth Lloyd Luberger Jr. | Physical Therapy Assistant | 16858 Toledo Blade Blvd, Port Charlotte, FL 33954-1673 | 2012-02-22 |
| 1811955768 | Stacey H Williams | Physical Therapy Assistant | 2305 Aaron St, Genesis Rehab Services River Commons, Port Charlotte, FL 33952-5346 | 2006-05-02 |
| 1730712548 | Gloria Macario Jimenez | Physical Therapy Assistant | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2020-02-20 |
| 1427516038 | Sydney Hoffman | Physical Therapy Assistant | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952 | 2019-03-04 |
| 1972072619 | Amy R Lieb | Physical Therapy Assistant | 4000 Kings Hwy, Port Charlotte, FL 33980-8718 | 2018-11-23 |
| 1760967715 | Anna Cooper | Physical Therapy Assistant | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2018-09-26 |
| 1710469184 | Eniko Korodi | Physical Therapy Assistant | 4000 Kings Hwy, Port Charlotte, FL 33980 | 2018-09-03 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on ULTIMATE WELLNESS REHAB 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.