Organization Active NPI

New Dimensions Wellness Inc

  • Physical Therapy Clinic/Center
  • Orlando, FL
National Provider Identifier
1346077203
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEW DIMENSIONS WELLNESS INC
Practice address
4470 35TH St Ste a
Orlando, FL 32811-6504
Phone
(407) 421-4737
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Justin Cobb, MPT,ATC,LAT,CSCSNPI 1174670467
Title
President
Phone
(407) 421-4737

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4470 35TH St Ste a
Orlando, FL 32811-6504

Mailing address

4470 35TH St Ste a
Orlando, FL 32811-6504
Phone (407) 421-4737

Other names 1

  • New Dimensions Wellness Club Other name

National Provider Directory

National Provider Directory

Locations

4470 35th St
Ste A
Orlando, FL 32811
Phone (407) 421-4737

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1346077203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 35TH ST STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116504",
            "telephone_number": "407-421-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 35TH ST STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116504",
            "telephone_number": "407-421-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIMENSIONS WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-421-4737",
        "authorized_official_credential": "MPT,ATC,LAT,CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Dimensions Wellness Club",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.