Mother and Baby Wellness Collective, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOTHER AND BABY WELLNESS COLLECTIVE, LLC

Practice address

136 Millstone Way
Canton, GA 30115-7270

Phone

(845) 772-1374

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Brittany Zis, DPT

Title

Owner/Physical Therapist

Phone

(845) 551-2116

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Brittany Raniere, DPT

  • Physical Therapist
  • White Plains, NY
  • NPI 1902221120
  NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1376151001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MILLSTONE WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157270",
            "telephone_number": "845-551-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MILLSTONE WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157270",
            "telephone_number": "845-772-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER AND BABY WELLNESS COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "ZIS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-551-2116",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pteverywhere.com/PtE/",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Records",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Electronic Medical Record",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Medical Record",
            "address_1": "136 Millstone Way",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301157270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Diane Mortimer, RPH
• Kacey M Mosely, APRN
• Moss Family Chiropractic, Inc
• Daniel R Moss, D.C.
• Lauren Moss, LPC
• Mountainside Autism Therapy, LLC
• MPD Consulting, Inc.
• MPD Consulting, Inc.
• Niang Muang, DMD
• Sarah Muccillo, MS, ATC, LAT

• Physical Therapy Clinic/Center in Canton, GA
• Providers in Canton, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.