Active NPI
Physical Therapy & Wellness in Motion, Inc
- Physical Therapy Clinic/Center
- Palm Coast, FL
National Provider Identifier
1164735155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 25452
- Legal business name
- PHYSICAL THERAPY & WELLNESS IN MOTION, INC
- Practice address
- 145 Cypress Point Pkwy
Suite 104
Palm Coast, FL 32164-8426 - Phone
- (386) 274-2520
- Fax
- (386) 274-2521
- NPI assigned
- Jul 19, 2010
- 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
- Mr. Scott Wayne Tyree, MPT
- Title
- President/Physical Therapist
- Phone
- (386) 274-2520
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 25452 | FL | Primary |
Addresses
Primary practice location
145 Cypress Point Pkwy
Suite 104
Palm Coast, FL 32164-8426
Mailing address
2441 Bellevue Ave Extension
Daytona Beach, FL 32114
Phone (386) 274-2520
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Daytona Beach, FL
- NPI 1417033424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279843200000",
"number": "1164735155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 BELLEVUE AVE EXTENSION",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32114",
"telephone_number": "386-274-2520",
"fax_number": "386-274-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 CYPRESS POINT PKWY",
"address_2": "SUITE 104",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321648426",
"telephone_number": "386-274-2520",
"fax_number": "386-274-2521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY & WELLNESS IN MOTION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-23",
"status": "A",
"authorized_official_last_name": "TYREE",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "386-274-2520",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "25452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.