Wellness Rehab of South Florida Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P17000009153 Issued in FL

Legal business name

WELLNESS REHAB OF SOUTH FLORIDA INC.

Practice address

1600 S Federal Hwy Ste 550
Pompano Beach, FL 33062-7518

Phone

(561) 866-7794

Fax

(954) 657-8358

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Jairilena M Viana

Title

Ceo

Phone

(561) 866-7794

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1114451408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY STE 550",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627518",
            "telephone_number": "561-866-7794",
            "fax_number": "954-657-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY STE 550",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627518",
            "telephone_number": "561-866-7794",
            "fax_number": "954-657-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS REHAB OF SOUTH FLORIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "VIANA",
        "authorized_official_first_name": "JAIRILENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-866-7794"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "P17000009153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCUMENT NUMBER",
            "identifier": "P17000009153",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi Lynn Weitz, PSY.D.
• Daniel Patrick Welch, PHARM.D.
• Kelie H. R. Weller, LMT
• Wellness Center for Healing LLC
• Wellness Physicians Group, LLC
• Jordyn Danielle Wells
• Adrienne Lakate Wesley
• Shelby Eller Wesolowski, PA-C
• West Dixie Health Center Inc.
• West Pompano Spine Center LLC

• Physical Therapy Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, 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 Apr 13, 2017; 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.