Headwind Health LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HEADWIND HEALTH LLC

Practice address

1224 W Taylor St Apt 2
Chicago, IL 60607-4709

Phone

(937) 903-4837

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryce Renicker, PT, DPTNPI 1114493905

Title

Ceo

Phone

(937) 903-4837

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bryce Renicker

  • Physical Therapist
  • Chicago, IL
  • NPI 1114493905
  NPD Authorized official

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1184397614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W TAYLOR ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074709",
            "telephone_number": "937-903-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 W TAYLOR ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074709",
            "telephone_number": "937-903-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWIND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "RENICKER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-903-4837",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zue Alexia Head, NURSE PRACTITIONER
• Headdox Inc (Headdox)
• Lauren Marie Headley, SLP
• Maggie Headley, MD
• Headway Counseling, PC
• Headz Up Mental Clarity Wellness Center, PLLC
• Heal Counseling and Wellness LTD.
• Heal Well Primary Care PC
• Taylor Heald-Sargent, M.D., PH.D.
• Lynn M Heald, APN

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.