Healthwave Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8057 Issued in FL

Legal business name

HEALTHWAVE INC

Practice address

1401 Penman Rd Ste C
Jacksonville Beach, FL 32250-3647

Phone

(904) 242-0707

NPI assigned

Apr 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joyce Tucker

Title

Billing Manager

Phone

(904) 272-3440

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003032897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PENMAN RD STE C",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503647",
            "telephone_number": "904-242-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PENMAN RD STE C",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503647",
            "telephone_number": "904-242-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-272-3440"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suvana Hashim, DDS
• Timothy R Hastings, MD
• Stephanie Lynn Haynes, P.T.
• Kimberly Ann Hazouri-Yeary, LMHC
• Healthcore Wellness PA (Ocean View Health)
• Hector C Pagan MD PA (Advanced Medical Associates)
• Geoffrey Heekin, PA-C
• Carter Henley
• Shannon Ward Henne, PT
• Jenna Herkalo, M.S. CCC-SLP

• Physical Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.