Organization Active NPI

Flourish Health and Wellness LLC

  • Physical Therapy Clinic/Center
  • Grand Rapids, MN
National Provider Identifier
1245056365
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FLOURISH HEALTH AND WELLNESS LLC
Practice address
1833 W US Highway 2
Grand Rapids, MN 55744-4736
Phone
(218) 969-8226
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Lisa L Wyland, PT, MOMTNPI 1356414916
Title
Physical Therapist
Phone
(218) 969-8226

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

1833 W US Highway 2
Grand Rapids, MN 55744-4736

Mailing address

1020 N Pokegama Ave
Grand Rapids, MN 55744-2444
Phone (218) 969-8226

National Provider Directory

National Provider Directory

Locations

1833 W US Highway 2
Grand Rapids, MN 55744
Phone (218) 969-8226

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1245056365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N POKEGAMA AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442444",
            "telephone_number": "218-969-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 W US HIGHWAY 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444736",
            "telephone_number": "218-969-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "WYLAND",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "218-969-8226",
        "authorized_official_credential": "PT, MOMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.