Organization Active NPI

Healdsburg Physical Therapy and Wellness PC

  • Physical Therapist
  • Healdsburg, CA
National Provider Identifier
1316756406
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALDSBURG PHYSICAL THERAPY AND WELLNESS PC
Practice address
465 March Ave Ste B
Healdsburg, CA 95448-3371
Phone
(707) 433-5219
NPI assigned
Jan 3, 2025
Last updated
May 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Brinda R Barcelon, PTNPI 1164027173
Title
Owner
Phone
(707) 433-5219

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

465 March Ave Ste B
Healdsburg, CA 95448-3371

Mailing address

465 March Ave Ste B
Healdsburg, CA 95448-3371
Phone (707) 433-5219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250509000713 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567989817 Receives reassigned benefits from 1 practitioner
Practice locations: Healdsburg, CA

National Provider Directory

National Provider Directory

Locations

465 March Ave
Ste B
Healdsburg, CA 95448
Phone (707) 433-5219

Practitioners & affiliated clinicians

Practitioners 5

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": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1316756406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MARCH AVE STE B",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483371",
            "telephone_number": "707-433-5219",
            "fax_number": "707-433-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MARCH AVE STE B",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483371",
            "telephone_number": "707-433-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALDSBURG PHYSICAL THERAPY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "BARCELON",
        "authorized_official_first_name": "BRINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-433-5219",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.