NPIMap

Organization Active NPI

Annabelle McWhite LLC

Doing business as Fyzical Therapy and Balance Centers

  • Physical Therapist
  • Bethany Beach, DE
National Provider Identifier
1336893171
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANNABELLE MCWHITE LLC
Doing business as
Fyzical Therapy and Balance Centers
Practice address
699 Bethany Loop
Unit 3
Bethany Beach, DE 19930
Phone
(302) 616-3651
Fax
(302) 616-3652
NPI assigned
Feb 10, 2022
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Joanne Brusich
Title
Office Manager
Phone
(484) 919-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

699 Bethany Loop
Unit 3
Bethany Beach, DE 19930

Mailing address

699 Bethany Loop
Unit 3
Bethany Beach, DE 19930-9181
Phone (484) 919-6632

Other names 1

  • Fyzical Therapy and Balance Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220610000111 DE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092193664 Receives reassigned benefits from 3 practitioners
Practice locations: Bethany Beach, DE

National Provider Directory

National Provider Directory

Locations

699 Bethany Loop
Unit 3
Bethany Beach, DE 19930
Phone (302) 616-3651

Practitioners & affiliated clinicians

Practitioners 3

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": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1336893171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 BETHANY LOOP",
            "address_2": "UNIT 3",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "199309181",
            "telephone_number": "484-919-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 BETHANY LOOP",
            "address_2": "UNIT 3",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "19930",
            "telephone_number": "302-616-3651",
            "fax_number": "302-616-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNABELLE MCWHITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "BRUSICH",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "484-919-6632"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethany Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.