Peaceful Warriors Wellness Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MM95712 Issued in FL

Legal business name

PEACEFUL WARRIORS WELLNESS CENTER

Practice address

19 Dr Martin Luther King Jr St S
St Petersburg, FL 33705

Phone

(727) 822-8866

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Lena Roberts, LMTNPI 1639696222

Title

Owner

Phone

(727) 822-8866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lena Roberts, LMT

  • Massage Therapist
  • Saint Petersburg, FL
  • NPI 1639696222
  NPD Authorized official

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083131676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DR MARTIN LUTHER KING JR ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051616",
            "telephone_number": "727-822-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DR MARTIN LUTHER KING JR ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-822-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL WARRIORS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-822-8866",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM95712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Valeria Paz Monge, MD
• PC Health Partners PA
• PCP Care
• Cheryl Pe, PSY.S. , NCSP
• Peaceful Path Wellness LLC
• Teresa E Peak, PA-C
• Faye R Pearce
• Stephen Ryan Pearce, OTR/L
• Pearl Shah LLC
• Pearl Shah LLC

• Physical Therapy Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Therapy Clinic/Center in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.