Active NPI
Wellness Docs
- Physical Medicine & Rehabilitation Physician
- Cincinnati, OH
National Provider Identifier
1033729496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- WELLNESS DOCS
- Practice address
- 11123 Montgomery Rd Ste 105
Cincinnati, OH 45249-2390 - Phone
- (513) 469-6400
- Fax
- (513) 469-2225
- NPI assigned
- Jul 31, 2020
- 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
- Dr. Garrett Gallentine, DC
- Title
- Owner/Ceo/Chiropractor
- Phone
- (513) 469-6400
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 Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
11123 Montgomery Rd Ste 105
Cincinnati, OH 45249-2390
Mailing address
11123 Montgomery Rd Ste 105
Cincinnati, OH 45249-2390
Phone (513) 469-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200901000749 | OH | Part B Supplier - Clinic/Group Practice | 1254758592 |
Receives reassigned benefits from 11 practitioners Practice locations: Cincinnati, OH; Fairfield Township, OH |
National Provider Directory
National Provider DirectoryLocations
11123 Montgomery Rd
Ste 105
Cincinnati, OH 45249
Phone (513) 342-1700
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Newark, OH
- NPI 1588451397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596153600000",
"number": "1033729496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11123 MONTGOMERY RD STE 105",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492390",
"telephone_number": "513-469-6400",
"fax_number": "513-469-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 MONTGOMERY RD STE 105",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492390",
"telephone_number": "513-469-6400",
"fax_number": "513-469-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS DOCS",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A",
"authorized_official_last_name": "GALLENTINE",
"authorized_official_first_name": "GARRETT",
"authorized_official_title_or_position": "OWNER/CEO/CHIROPRACTOR",
"authorized_official_telephone_number": "513-469-6400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.