Organization Active NPI

Wellness Cafe Physical Therapy, Inc

  • Physical Therapist
  • Pleasant Hill, CA
National Provider Identifier
1013634799
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WELLNESS CAFE PHYSICAL THERAPY, INC
Practice address
2770 Pleasant Hill Rd
Pleasant Hill, CA 94523-2044
Phone
(925) 216-5047
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Beata ZegarowskiNPI 1003143389
Title
P.T.
Phone
(925) 216-5047

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

2770 Pleasant Hill Rd
Pleasant Hill, CA 94523-2044

Mailing address

1292 Quandt CT
Lafayette, CA 94549-2624
Phone (925) 216-5047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221123000589 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183092182 Receives reassigned benefits from 4 practitioners
Practice locations: Pleasant Hill, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1013634799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 QUANDT CT",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945492624",
            "telephone_number": "925-216-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 PLEASANT HILL RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232044",
            "telephone_number": "925-216-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CAFE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "ZEGAROWSKI",
        "authorized_official_first_name": "BEATA",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "925-216-5047"
    },
    "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 Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.