NPIMap

Organization Active NPI

New Day Wellness LLC

  • Geriatric Physical Therapist
  • Chiefland, FL
National Provider Identifier
1063523496
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT4102 Issued in FL
Legal business name
NEW DAY WELLNESS LLC
Practice address
1315 NW 21St Ave Ste 3
Chiefland, FL 32626-1978
Phone
(352) 493-2999
Fax
(866) 631-2029
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bruce Gerard Sack, PTNPI 1396750964
Title
Owner
Phone
(352) 371-4637

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
Geriatric Physical Therapist 2251G0304X PT4102 FL Primary

Addresses

Primary practice location

1315 NW 21St Ave Ste 3
Chiefland, FL 32626-1978

Mailing address

1315 NW 21St Ave Ste 3
Chiefland, FL 32626-1978
Phone (352) 493-2999

Other practice location 1

7701 SW 56th Ave
Gainesville, FL 32608-4406
Phone (352) 371-4637

Other practice location 2

5201 NW 34th Blvd
Gainesville, FL 32605-1153
Phone (352) 240-1136

Other practice location 3

1415 Fort Clarke Blvd
Gainesville, FL 32606-7181
Phone (352) 240-1136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000465 FL Part B Supplier - Clinic/Group Practice 8921101841 Receives reassigned benefits from 6 practitioners
Practice locations: Chiefland, FL; Gainesville, FL

National Provider Directory

National Provider Directory
Tax ID family
Fyzical Therapy and Balance Center Gaine4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1315 NW 21st Ave
Ste C
Chiefland, FL 32626
Phone (352) 493-2999

3700 NW 91st St
Ste E300
Gainesville, FL 32606
Phone (352) 240-1136

Practitioners & affiliated clinicians

Practitioners 12

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063523496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE STE 3",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261978",
            "telephone_number": "352-493-2999",
            "fax_number": "866-631-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE STE 3",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261978",
            "telephone_number": "352-493-2999",
            "fax_number": "866-631-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 SW 56th Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326084406",
            "country_code": "US",
            "telephone_number": "352-371-4637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 NW 34th Blvd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326051153",
            "country_code": "US",
            "telephone_number": "352-240-1136",
            "fax_number": "877-639-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Fort Clarke Blvd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326067181",
            "country_code": "US",
            "telephone_number": "352-240-1136",
            "fax_number": "866-631-2029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW DAY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-371-4637",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.