NPIMap

Organization Active NPI

Wellness Docs

  • Physical Medicine & Rehabilitation Physician
  • Cincinnati, OH
National Provider Identifier
1033729496
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Dr. Garrett Gallentine, DCNPI 1124462866
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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, and the practitioner matching its NPPES authorized official.

View all 13

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.

Verify at the official NPI Registry.