Healing Body & Soul Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HEALING BODY & SOUL PHYSICAL THERAPY

Practice address

5619 Silver Oak Dr
Fort Pierce, FL 34982-3268

Phone

(305) 742-8401

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Tatiana Yissel Rodriguez, PTA

Title

Owner/ Pta

Phone

(305) 742-8401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1255069365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 SILVER OAK DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823268",
            "telephone_number": "305-742-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 SILVER OAK DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823268",
            "telephone_number": "305-742-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING BODY & SOUL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "YISSEL",
        "authorized_official_title_or_position": "OWNER/ PTA",
        "authorized_official_telephone_number": "305-742-8401",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Zandra Haugabook
• Alicia S Hawkins, CRNA
• Cynthiaann Lee Hayes, LMT, RRT
• Priscilla Hayes, BA
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• Healthcite LLC (Healthcite Pharmacy)
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• Healthstar Spinal Center Inc
• Lora Beth Hearn, ARNP
• Heart and Harvest Meals LLC

• Physical Therapy Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.