International Wudang Internal Martial Arts Research Association

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

INTERNATIONAL WUDANG INTERNAL MARTIAL ARTS RESEARCH ASSOCIATION

Doing business as

Wudang Research Association

Practice address

430 N Pine Meadow Dr
Debary, FL 32713-2306

Phone

(386) 753-0897

NPI assigned

Dec 5, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Theresa M Morgan

Title

President/Ceo

Phone

(386) 753-0897

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wudang Research Association Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1235735325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N PINE MEADOW DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132306",
            "telephone_number": "386-753-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N PINE MEADOW DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132306",
            "telephone_number": "386-753-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL WUDANG INTERNAL MARTIAL ARTS RESEARCH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-05",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "386-753-0897",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAYS OPTIONAL BUT SEEMS REQUIRED",
            "identifier": "12456",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DeBary",
            "affiliation": "N",
            "endpointDescription": "Initial setup per required fields",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "430 N Pine Meadow Dr",
            "city": "Debary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327132306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wudang Research Association",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wudang Research Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muhammad Numaan Imam
• Impulse Chiropractic and Rehab LLC
• Integrative Physical Medicine of Debary, LLC
• Integrity Behavioral & Coaching Solutions,LLC
• Internal Medicine at Debary LLC
• Wendy Isaac, RRT
• J.T. Partners Inc
• Shonte V Jacobs
• Melissa Janello
• Jay Ananthan-Nair, OD, PA

• Athletic Trainer in Debary, FL
• Providers in Debary, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.