Wholehealth Physical Therapy, LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

WHOLEHEALTH PHYSICAL THERAPY, LLC

Practice address

21123 Via Ventura
Boca Raton, FL 33433-2230

Phone

(714) 608-3417

NPI assigned

Nov 27, 2019

Organization subpart

No

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

Authorized official

Name

Marlene Hodges-Earl, PT, MPT

Title

Owner, Physical Therapist

Phone

(714) 608-3417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1295372027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21123 VIA VENTURA",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332230",
            "telephone_number": "714-608-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21123 VIA VENTURA",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332230",
            "telephone_number": "714-608-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEHEALTH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "HODGES-EARL",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "714-608-3417",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitehall of Boca Raton, LLC
• Whitehall Opco, LLC
• Brooke Whitfield-Fattovich
• Elizabeth Whittle, RD/LDN
• Whole Health Advisors, Inc
• Wholesome Family Wellness LLC
• Wholesome Therapy Center Inc
• Paul Whritenour
• Lloyd George Wickboldt, MD
• Hollis Widdekind, LCSW

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.