Organization Active NPI

Wildflower Wellness Therapy

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1013500651
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WILDFLOWER WELLNESS THERAPY
Practice address
1753 E Broadway Rd Ste 101-536
Tempe, AZ 85282-1591
Phone
(207) 279-1336
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Lindsay ColleyNPI 1477602688
Title
Manager/Ceo
Phone
(207) 279-1336

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1753 E Broadway Rd Ste 101-536
Tempe, AZ 85282-1591

Mailing address

1753 E Broadway Rd Ste 101-536
Tempe, AZ 85282-1591
Phone (207) 279-1336

National Provider Directory

National Provider Directory

Locations

1753 E Broadway Rd
Ste 101536
Tempe, AZ 85282
Phone (207) 279-1336

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": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1013500651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 E BROADWAY RD STE 101-536",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821591",
            "telephone_number": "207-279-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 E BROADWAY RD STE 101-536",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821591",
            "telephone_number": "207-279-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER WELLNESS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "COLLEY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "207-279-1336"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.