Organization Active NPI

Wellest Integrative Health LLC

  • Physical Therapy Clinic/Center
  • Boston, MA
National Provider Identifier
1235763327
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WELLEST INTEGRATIVE HEALTH LLC
Practice address
142 Berkeley St Ste 402
Boston, MA 02116-5100
Phone
(857) 246-8234
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Melissa Mae Hines, PTNPI 1801252317
Title
Owner
Phone
(857) 246-8234

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

142 Berkeley St Ste 402
Boston, MA 02116-5100

Mailing address

142 Berkeley St Ste 402
Boston, MA 02116-5100
Phone (857) 246-8234

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherOUT OF NETWORK AND DO NOT ACCEPT MEDICARE/MEDICAID

National Provider Directory

National Provider Directory

Locations

142 Berkeley St
Ste 402
Boston, MA 02116
Phone (203) 219-9747

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1235763327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BERKELEY ST STE 402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165100",
            "telephone_number": "857-246-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BERKELEY ST STE 402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165100",
            "telephone_number": "857-246-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLEST INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-246-8234",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF NETWORK AND DO NOT ACCEPT MEDICARE/MEDICAID",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.