NPIMap

Organization Active NPI

Dr. Physio Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1265111496
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DR. PHYSIO THERAPY & WELLNESS
Practice address
3205 S Federal Hwy Ste 8
Delray Beach, FL 33483-3266
Phone
(954) 369-5787
Fax
(954) 206-7733
NPI assigned
Jul 14, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Lenisson Melo Carneiro, PT, DPTNPI 1811236169
Title
Owner
Phone
(954) 369-5787

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 NU Primary

Addresses

Primary practice location

3205 S Federal Hwy Ste 8
Delray Beach, FL 33483-3266

Mailing address

3205 S Federal Hwy Ste 8
Delray Beach, FL 33483-3266
Phone (954) 369-5787

National Provider Directory

National Provider Directory
Tax ID family
Dr Physio Therapy Wellness2 organizations share this tax ID, including this one
Part of
Dr Physio Therapy Wellness

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1265111496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 S FEDERAL HWY STE 8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833266",
            "telephone_number": "954-369-5787",
            "fax_number": "954-206-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 S FEDERAL HWY STE 8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833266",
            "telephone_number": "954-369-5787",
            "fax_number": "954-206-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PHYSIO THERAPY & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "CARNEIRO",
        "authorized_official_first_name": "LENISSON",
        "authorized_official_middle_name": "MELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-369-5787",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.