Organization Active NPI

Wellness Companies of Florida Corp

Doing business as Physical Therapy Now Cooper City

  • Physical Therapy Clinic/Center
  • Hollywood, FL
National Provider Identifier
1083168991
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
HCC10682 Issued in FL
Legal business name
WELLNESS COMPANIES OF FLORIDA CORP
Doing business as
Physical Therapy Now Cooper City
Practice address
12165 Sheridan St
Hollywood, FL 33026-1444
Phone
(754) 209-7404
NPI assigned
Aug 9, 2016
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Eddie GonzalezNPI 1780404244
Title
President
Phone
(305) 970-1430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X HCC10682 FL Primary

Addresses

Primary practice location

12165 Sheridan St
Hollywood, FL 33026-1444

Mailing address

12165 Sheridan St
Hollywood, FL 33026-1444
Phone (754) 209-7404

Other practice location 1

2100 E Hallandale Beach Blvd Ste 101A
Hallandale Beach, FL 33009-3722
Phone (954) 362-7254

Other names 1

  • PHYSICAL THERAPY NOW COOPER CITY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171218001965 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890053037 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Hallandale Beach, FL; Hollywood, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Wellness Companies of Florida Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12165 Sheridan St
Hollywood, FL 33026
Phone (305) 970-1430

12239 Sheridan St
Hollywood, FL 33026

Practitioners & affiliated clinicians

Practitioners 3

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": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1083168991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261444",
            "telephone_number": "754-209-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261444",
            "telephone_number": "754-209-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 E Hallandale Beach Blvd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330093722",
            "country_code": "US",
            "telephone_number": "954-362-7254",
            "fax_number": "754-209-7464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS COMPANIES OF FLORIDA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-970-1430"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC10682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICAL THERAPY NOW COOPER CITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHYSICAL THERAPY NOW COOPER CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.