Health Complex Physical Therapy and Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19413 Issued in FL

Legal business name

HEALTH COMPLEX PHYSICAL THERAPY AND WELLNESS

Doing business as

Health Complex Physical Therapy And Wellness

Practice address

1893 N Clyde Morris Blvd Ste 120
Daytona Beach, FL 32117-5536

Phone

(386) 944-3993

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Meyer, PT

Title

Owner

Phone

(386) 944-3993

Specialties & licenses 1

Addresses

Other names 1

• Health Complex Physical Therapy And Wellness Doing business as

Locations

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1023528585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 N CLYDE MORRIS BLVD STE 120",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175536",
            "telephone_number": "386-944-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 N CLYDE MORRIS BLVD STE 120",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175536",
            "telephone_number": "386-944-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH COMPLEX PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-944-3993",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Complex Physical Therapy And Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Hayward
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• Health Center of Daytona Beach, Inc
• Health Driven Inc
• Health Insurance Associates, LLC
• Healthcare Specialists of Florida PLLC
• Healthquest Medical Partners, P.a.
• Hear Again LLC

• Physical Therapist in Daytona Beach, FL
• Providers in Daytona 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 Oct 10, 2017; 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.