Organization Active NPI

Infinite Rehabilitation and Wellness Center, LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1083229017
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INFINITE REHABILITATION AND WELLNESS CENTER, LLC
Practice address
6100 Greenland Rd Ste 601
Jacksonville, FL 32258-7436
Phone
(904) 560-2020
Fax
(904) 212-3272
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Johann Velez
Title
Managing Member
Phone
(904) 560-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6100 Greenland Rd Ste 601
Jacksonville, FL 32258-7436

Mailing address

6100 Greenland Rd Ste 601
Jacksonville, FL 32258-7436
Phone (904) 560-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083229017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587436",
            "telephone_number": "904-560-2020",
            "fax_number": "904-212-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587436",
            "telephone_number": "904-560-2020",
            "fax_number": "904-212-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE REHABILITATION AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "JOHANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-560-2020"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.