Front Door Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FRONT DOOR WELLNESS LLC

Practice address

Front Door Wellness LLC
5835 Quail Meadows Drive
Poplar Bluff, MO 63901

Phone

(573) 429-0784

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Amy Manchester, PT

Title

Sole Member

Phone

(573) 429-0784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1285271239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRONT DOOR WELLNESS LLC",
            "address_2": "5835 QUAIL MEADOWS DRIVE",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FRONT DOOR WELLNESS LLC",
            "address_2": "5835 QUAIL MEADOWS DRIVE",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-429-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT DOOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "MANCHESTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "573-429-0784",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willis Noelle Franklin, O.D.
• Martinie C Franks, LCSW
• Leslie Suzanne Frazier, RPH
• Zachary Keegan Frederick
• Rebecca Fredwell
• Bronson J Frost
• Alicia Robin Fuller
• Jennifer G Funke, PT
• M0Nica Leann Fuqua
• Charity Dawn Gallamore

• Physical Therapist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.