Organization Active NPI

Continuum Wellness Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Apache Junction, AZ
National Provider Identifier
1144583592
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8062 Issued in AZ
Legal business name
CONTINUUM WELLNESS CLINIC, LLC
Practice address
1075 S Idaho Rd
Suite 210
Apache Junction, AZ 85119-6496
Phone
(480) 983-0877
Fax
(480) 983-3172
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Steve Davidson, P.T.
Title
Managing Member
Phone
(616) 356-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8062 AZ Primary

Addresses

Primary practice location

1075 S Idaho Rd
Suite 210
Apache Junction, AZ 85119-6496

Mailing address

3941 E Baseline Rd
Suite 101
Gilbert, AZ 85234-2750
Phone (480) 503-2010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1144583592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 E BASELINE RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342750",
            "telephone_number": "480-503-2010",
            "fax_number": "480-503-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD",
            "address_2": "SUITE 210",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196496",
            "telephone_number": "480-983-0877",
            "fax_number": "480-983-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUUM WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "616-356-5000",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "8062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.