Organization Active NPI

Alton Rd Wellness

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1174214522
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
ALTON RD WELLNESS
Practice address
12272 Waterstone Cir
Palm Beach Gardens, FL 33412-2585
Phone
(253) 414-8194
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Gregory Simons
Title
Ceo
Phone
(253) 414-8194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0011X Primary

Addresses

Primary practice location

12272 Waterstone Cir
Palm Beach Gardens, FL 33412-2585

Mailing address

12272 Waterstone Cir
Palm Beach Gardens, FL 33412-2585
Phone (253) 414-8194

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1174214522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 WATERSTONE CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122585",
            "telephone_number": "253-414-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12272 WATERSTONE CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122585",
            "telephone_number": "253-414-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON RD WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-414-8194"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.