Wellness Aerobic & Sports Medicine Clinic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WELLNESS AEROBIC & SPORTS MEDICINE CLINIC

Practice address

1311 Gause Blvd
Slidell, LA 70458-3015

Phone

(985) 649-6577

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Kim A Abney

Title

Operations Manager

Phone

(985) 649-6577

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Heather G. Matula, PT

  • Physical Therapist
  • Slidell, LA
  • NPI 1023048212
  NPD (past)
• Kerry Reardon, PT

  • Physical Therapist
  • Slidell, LA
  • NPI 1336181833
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366484719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583015",
            "telephone_number": "985-649-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583015",
            "telephone_number": "985-649-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AEROBIC & SPORTS MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABNEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "985-649-6577"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Lousteau Weeks, M.D.
• Alan M Weems, M.D.
• Kelly Wehrung, RN
• Michael K Weil, M.D.
• Robert Weiss, MD
• Wellness Physical Therapy of Slidell, LLC
• Sophia Wendt
• Deandre Develle West, LMSW
• Lauren West
• Thomas Thane West, M.D.

• Physical Therapy Clinic/Center in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.