NPIMap

Organization Active NPI

Wellness One, Inc

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1164413902
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WELLNESS ONE, INC
Practice address
2418 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6480
Phone
(919) 782-5954
Fax
(919) 859-9444
NPI assigned
Nov 1, 2005
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mrs. Michelle Sydnor, OTNPI 1790755619
Title
Owner
Phone
(919) 782-5954

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

2418 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6480

Mailing address

3528 Wade Ave
#139
Raleigh, NC 27607-4048
Phone (919) 782-5954

National Provider Directory

National Provider Directory

Locations

200 Ashville Ave
#30
Cary, NC 27518
Phone (919) 859-9333

2418 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 782-5954

3528 Wade Ave
#139
Raleigh, NC 27607

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1164413902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 WADE AVE",
            "address_2": "#139",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074048",
            "telephone_number": "919-782-5954",
            "fax_number": "919-859-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076480",
            "telephone_number": "919-782-5954",
            "fax_number": "919-859-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ONE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "SYDNOR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-782-5954",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.