Wholesome Family Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25905 Issued in FL

Legal business name

WHOLESOME FAMILY WELLNESS LLC

Practice address

4420 NW 28TH Way
Boca Raton, FL 33434-5819

Phone

(561) 577-4860

Fax

(561) 509-7621

NPI assigned

Nov 22, 2011

Last updated

Sep 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander P Soave, DPT, LMTNPI 1740599299

Title

Owner

Phone

(561) 577-4860

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Alexander P Soave, PT, DPT. LMT.

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1740599299
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1356618185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 NW 28TH WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345819",
            "telephone_number": "561-577-4860",
            "fax_number": "561-509-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 NW 28TH WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345819",
            "telephone_number": "561-577-4860",
            "fax_number": "561-509-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "SOAVE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-577-4860",
        "authorized_official_credential": "DPT, LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25905",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA52832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002865100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitehall Opco, LLC (Whitehall Boca Raton)
• Brooke Whitfield-Fattovich
• Elizabeth Whittle, RD/LDN
• Whole Health Advisors, Inc
• Wholehealth Physical Therapy, LLC
• Wholesome Therapy Center Inc
• Paul Whritenour
• Lloyd George Wickboldt, MD
• Hollis Widdekind, LCSW
• Jonathan Wideroff, M.D.

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.