Active NPI
Continuum Wellness Clinic, LLC
- Durable Medical Equipment & Medical Supplies
- Apache Junction, AZ
National Provider Identifier
1144583592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 8062
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.