Wellpoint Acupuncture, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7706 Issued in GA

Legal business name

WELLPOINT ACUPUNCTURE, INC

Practice address

372 Southerland Ter NE
Atlanta, GA 30307-2346

Phone

(404) 444-7160

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Mary Cook, PT, LAC

Title

President/Owner

Phone

(404) 444-7160

Specialties & licenses 2

Addresses

Other names 1

• Wellpoint Physical Therapy & Acupuncture Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alvin Jenkins

  • Physical Therapist
  • Sarasota, FL
  • NPI 1942288196
  NPD

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1306019674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 SOUTHERLAND TER NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072346",
            "telephone_number": "404-444-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 SOUTHERLAND TER NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072346",
            "telephone_number": "404-444-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINT ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "404-444-7160",
        "authorized_official_credential": "PT, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "117",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "7706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellpoint Physical Therapy & Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.