Organization Active NPI

Wellness Wise, Inc.

  • Massage Therapist
  • Fort Pierce, FL
National Provider Identifier
1033368329
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA37838 Issued in FL
Legal business name
WELLNESS WISE, INC.
Practice address
1001 W Midway Rd
Fort Pierce, FL 34982-4142
Phone
(772) 812-9953
Fax
(772) 871-7842
NPI assigned
Sep 11, 2008
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Trina Wise HenkelNPI 1265699318
Title
President/Owner
Phone
(772) 812-9953

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
Massage Therapist 225700000X MA37838 FL Primary

Addresses

Primary practice location

1001 W Midway Rd
Fort Pierce, FL 34982-4142

Mailing address

6800 NW Monoco CT
Port St Lucie, FL 34983-5376
Phone (772) 812-9953

Other identifiers 1

IdentifierTypeStateIssuer
C2393OtherFLBCBSFL

National Provider Directory

National Provider Directory

Locations

1001 W Midway Rd
Fort Pierce, FL 34982
Phone (772) 812-9953

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1033368329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 NW MONOCO CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349835376",
            "telephone_number": "772-812-9953",
            "fax_number": "772-871-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349824142",
            "telephone_number": "772-812-9953",
            "fax_number": "772-871-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "HENKEL",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "WISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "772-812-9953"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA37838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "C2393",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.