Active NPI
New Wave Physical Therapy
- Physical Therapy Clinic/Center
- Rockledge, FL
National Provider Identifier
1013416965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlin Donner, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Melbourne, FL
- NPI 1245648526
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.