Organization Active NPI

New Wave Physical Therapy

  • Physical Therapy Clinic/Center
  • Rockledge, FL
National Provider Identifier
1013416965
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEW WAVE PHYSICAL THERAPY
Practice address
7125 Turner Rd Ste 101
Rockledge, FL 32955-5726
Phone
(321) 961-3805
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Authorized official

Name
Kaitlin Donner, PT, DPTNPI 1245648526
Title
Owner, Physical Therapist
Phone
(321) 961-3805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7125 Turner Rd Ste 101
Rockledge, FL 32955-5726

Mailing address

7125 Turner Rd Ste 101
Rockledge, FL 32955-5726

National Provider Directory

National Provider Directory

Locations

7125 Turner Rd
Ste 101
Rockledge, FL 32955
Phone (321) 961-3805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1013416965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 TURNER RD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 TURNER RD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555726",
            "telephone_number": "321-961-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "321-961-3805",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.