Bomtempo Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BOMTEMPO WELLNESS LLC

Doing business as

Zest Pelvic Health & Myofascial Release

Practice address

636 3Rd St S Ste 2
Jacksonville, FL 32250-6626

Phone

(904) 776-6596

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By 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

Jamie Lynn Korey Bomtempo, OTR/L

Title

Occupational Therapist

Phone

(904) 832-0667

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Zest Pelvic Health & Myofascial Release Doing business as

Electronic endpoints 1

Locations

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.

• Jamie Lynn Korey, OTR

  • Occupational Therapist
  • Houston, TX
  • NPI 1922457662
  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1376278630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 DEER RUN TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461068",
            "telephone_number": "904-832-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 3RD ST S STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322506626",
            "telephone_number": "904-776-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMTEMPO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BOMTEMPO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LYNN KOREY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "904-832-0667",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARKETPLACE INSURANCE PROGRAMS",
            "identifier": "OT17980",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@ZestMFR.com",
            "affiliation": "Y",
            "endpointDescription": "digital endpoint",
            "affiliationName": "Bomtempo Wellness LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "digital communication",
            "address_1": "636 3rd St S Ste 2",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322506626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Zest Pelvic Health & Myofascial Release",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly J Bolton
• Mydris Boltze
• James C Boman, MD
• James Stanley Bomhard, MD
• Pranav Reddy Bommineni, DO
• Alex Bonamy
• Casey Renee Bonaquist, D.O.
• Bond With Love LLC
• Elizabeth Bond, M.S., CF-SLP
• Jalil Bond

• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.