Wellcare Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15084 Issued in CA

Legal business name

WELLCARE PHYSICAL THERAPY INC.

Practice address

4157 Eagle Rock Blvd
Suite 7
Los Angeles, CA 90065-4492

Phone

(323) 982-1566

Fax

(323) 982-1680

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Marc Jimenez Gomez III

Title

Owner

Phone

(323) 982-1566

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Dominador O Ayeras III, P.T.

  • Physical Therapist
  • Torrance, CA
  • NPI 1730238338
  NPD (past)
• Joseph L Serrano, RPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1982741500
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1104002518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 EAGLE ROCK BLVD",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900654492",
            "telephone_number": "323-982-1566",
            "fax_number": "323-982-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 EAGLE ROCK BLVD",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900654492",
            "telephone_number": "323-982-1566",
            "fax_number": "323-982-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JIMENEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-982-1566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "15084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E. Wellauer, MD
• Wellbeing Clinic Inc
• Wellbeing Medical Eqpt & Supply Inc
• Wellcare Health Services Inc.
• Wellcare Home Health Service, Inc.
• Wellcare Wound & Podiatry Services Inc
• Adam Claude Welles
• Sean Welling, CADC-I
• Stephanie Wellington
• Tadeusz Wellisz, M.D.

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.