Physical Therapy Wellness Group

LBN: Physical Therapy Wellness Group
Physical Therapy Wellness Group is an health care organization with primary practice located at 519 Sw Nagle Place , Port Saint Lucie FL 34953. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Physical Therapy Wellness Group can be contacted via phone (772) 209-1183, or through White, Sperancia Anna via phone (772) 209-1183.

Contact Information

Primary practice address
519 Sw Nagle Place Port Saint Lucie FL 34953
Phone: (772) 209-1183
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Sperancia Anna DPT
Phone: (772) 209-1183

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1023677630
LBN Legal business name Physical Therapy Wellness Group
DBA Doing business as
Authorized official White, Sperancia Anna DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2019
Last updated May 23rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023677630 NPPES
Florida MEDICAID 261Q00000X

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