The Wellness Clinic Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE WELLNESS CLINIC INC.

Practice address

1281 Marinette Ave
Marinette, WI 54143-2018

Phone

(715) 735-5500

Fax

(715) 735-5502

NPI assigned

Oct 24, 2013

Last updated

Apr 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Koenigs, PTNPI 1093897902

Title

President and Cfo

Phone

(715) 735-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jason K Koenigs, PHYSICAL THERAPIST

  • Physical Therapist
  • Marinette, WI
  • NPI 1093897902
  Authorized official Same address or phone

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1124456330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 MARINETTE AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432018",
            "telephone_number": "715-735-5500",
            "fax_number": "715-735-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 MARINETTE AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432018",
            "telephone_number": "715-735-5500",
            "fax_number": "715-735-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "KOENIGS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT AND CFO",
        "authorized_official_telephone_number": "715-735-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Swing, D.D.S.
• Mary Syrette, LPN
• Kristina M Tebo, PHYSICAL THERAPIST
• Paula Marie Testin
• The Lakes Community Health Center, Inc (NorthLakes Community Clinic)
• James E Thill, MD
• Thomas Schroepfer, DDS, SC
• Jennifer Lynn Thomas, R.N.
• Joshua Thompson
• Sara L Thoney, FNP-C

• Physical Therapist in Marinette, WI
• Providers in Marinette, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.