Organization Active NPI

Healthfly Senior Wellness Center, Inc.

  • Physical Therapy Clinic/Center
  • Torrance, CA
National Provider Identifier
1356609838
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HEALTHFLY SENIOR WELLNESS CENTER, INC.
Practice address
3858 W Carson St
Suite 121
Torrance, CA 90503-6709
Phone
(480) 718-5986
Fax
(480) 664-6813
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Deonza Nicole Thymes, MD
Title
Owner
Phone
(323) 972-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

3858 W Carson St
Suite 121
Torrance, CA 90503-6709

Mailing address

3858 W Carson St
Suite 121
Torrance, CA 90503-6709
Phone (480) 718-5986

National Provider Directory

National Provider Directory

Locations

3858 W Carson St
Ste 121
Torrance, CA 90503
Phone (310) 540-4094

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1356609838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 W CARSON ST",
            "address_2": "SUITE 121",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036709",
            "telephone_number": "480-718-5986",
            "fax_number": "480-664-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 W CARSON ST",
            "address_2": "SUITE 121",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036709",
            "telephone_number": "480-718-5986",
            "fax_number": "480-664-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFLY SENIOR WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "THYMES",
        "authorized_official_first_name": "DEONZA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-972-2445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.