Flourish Physical Therapy, Inc

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

39830 Issued in CA

Legal business name

FLOURISH PHYSICAL THERAPY, INC

Practice address

95 Montgomery Dr
Suite 90
Santa Rosa, CA 95404-6630

Phone

(707) 968-7378

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Dustienne Miller, PT, MS, WCS

Title

Owner

Phone

(707) 968-7378

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1063858470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR",
            "address_2": "SUITE 90",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR",
            "address_2": "SUITE 90",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046630",
            "telephone_number": "707-968-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DUSTIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-968-7378",
        "authorized_official_credential": "PT, MS, WCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "39830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Flores, CNM, NP
• Siobhan Ann Flores
• Sophia Flores
• Yumi Flores, PHARMACIST
• Flourish Integrative Health and Acupuncture Inc.
• Mark Allen Flower, L.AC.
• Maureen Flynn Garcia
• Fmcps Santa Rosa LLC
• Foege Schumann Global Disaster Solutions
• Charles Lawrence Foehl, DDS

• Orthopedic Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.