Organization Active NPI

Stay Well LLC

Doing business as Stay Well Pediatric Center

  • Clinic/Center
  • Greenacres, FL
National Provider Identifier
1093380057
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STAY WELL LLC
Doing business as
Stay Well Pediatric Center
Practice address
6295 Lake Worth Rd Ste 40
Greenacres, FL 33463-3034
Phone
(561) 704-1275
NPI assigned
May 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Yordany Martinez
Title
Officer
Phone
(561) 704-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6295 Lake Worth Rd Ste 40
Greenacres, FL 33463-3034

Mailing address

3898 Via Poinciana Ste 15
Lake Worth, FL 33467-2951
Phone (561) 308-0818

Other names 1

  • Stay Well Pediatric Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250212001961 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608273263 Receives reassigned benefits from 1 practitioner
Practice locations: Greenacres, FL

National Provider Directory

National Provider Directory

Locations

6295 Lake Worth Rd
Ste 3B
Greenacres, FL 33463

6295 Lake Worth Rd
Ste 38
Greenacres, FL 33463
Phone (561) 328-8609

Practitioners & affiliated clinicians

Practitioners 2

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": "1621728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1093380057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA STE 15",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "561-308-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6295 LAKE WORTH RD STE 40",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633034",
            "telephone_number": "561-704-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-23",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "YORDANY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "561-704-1275"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stay Well Pediatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.