Wellnos PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELLNOS PLLC

Practice address

4490 N University Dr
Lauderhill, FL 33351-4513

Phone

(754) 701-7274

Fax

(954) 453-6065

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Donna Lea Fonda

Title

Credentialing Director

Phone

(305) 517-1219

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Physical Therapy Now Sunrise Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wellnos PLLC

  • Physical Therapist
  • Lauderhill, FL
  • NPI 1952926982

  O20200803002381

  Same enrollment

Practitioners 2

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

• Richard Alva Henry, D.C.

  • Nutrition Chiropractor
  • Lauderhill, FL
  • NPI 1285741744
  Medicare reassignment
• Raymond Earl Masse, MSPT

  • Physical Therapist
  • Plantation, FL
  • NPI 1255418711
  Medicare reassignment

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1194365841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514513",
            "telephone_number": "754-701-7274",
            "fax_number": "954-453-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514513",
            "telephone_number": "754-701-7274",
            "fax_number": "954-453-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNOS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "FONDA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "305-517-1219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT33616",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "CH8692",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Now Sunrise",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Therapy Now Sunrise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Watts, DMD
• Sandra Waugh, FNP
• We Care Activity Center Inc
• Brett Evan Weinstein, DC
• Wellness Center North 1 LLC
• Wellnos PLLC
• West Broward Referral and Nurses Agency, Inc
• West Commercial Wellness LLC
• Julie West
• White Crane Healing Arts Center, Inc.

• Multi-Specialty Clinic/Center in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.