Organization Active NPI

Fingerprint Wellness Inc

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1124636709
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FINGERPRINT WELLNESS INC
Practice address
4001 Westerly PL Ste 103
Newport Beach, CA 92660-2302
Phone
(949) 743-5775
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Sarah BelcherNPI 1073810925
Title
Owner
Phone
(619) 940-9288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4001 Westerly PL Ste 103
Newport Beach, CA 92660-2302

Mailing address

2245 Vista Huerta
Newport Beach, CA 92660-4027
Phone (619) 940-9288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210114000901 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789097676 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

17821 Sky Park Cir
Ste J
Irvine, CA 92614
Phone (619) 940-9288

4001 Westerly Pl
Ste 103
Newport Beach, CA 92660
Phone (619) 940-9288

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": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1124636709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 VISTA HUERTA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604027",
            "telephone_number": "619-940-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WESTERLY PL STE 103",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602302",
            "telephone_number": "949-743-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGERPRINT WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-940-9288"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.