360 Wellness Solutions Physical Therapy and Rehabilitation Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

360 WELLNESS SOLUTIONS PHYSICAL THERAPY AND REHABILITATION SERVICES

Practice address

194 Loch Lomond Rd
Rancho Mirage, CA 92270-5600

Phone

(760) 832-8025

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Katherine J. SullivanNPI 1285033878

Title

Ceo

Phone

(760) 832-8025

Specialties & licenses 1

Addresses

Other names 1

• 360 Wellness Mobile and Telehealth Services Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Josephine Sullivan, PT

  • Neurology Physical Therapist
  • Rancho Mirage, CA
  • NPI 1285033878
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1144952961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 LOCH LOMOND RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705600",
            "telephone_number": "760-832-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 LOCH LOMOND RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705600",
            "telephone_number": "760-832-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 WELLNESS SOLUTIONS PHYSICAL THERAPY AND REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-832-8025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Wellness Mobile and Telehealth Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 360 Wellness Solutions, LLC
• 92270 Surgery Center
• A Nanie'S Heart LLC
• A Peterson Rcfe LLC
• Benedict Carillo Abaya, FNP-BC, FNP-C

• Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.