Organization Active NPI

Wellness of Warriors LLC

  • Physical Medicine & Rehabilitation Physician
  • Lynchburg, VA
National Provider Identifier
1417786542
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WELLNESS OF WARRIORS LLC
Doing business as
Wellness of Warriors LLC
Practice address
105 Capital St Unit 206
Lynchburg, VA 24502-5223
Phone
(757) 718-6778
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mr. Johnny C Cooley
Title
Ceo
Phone
(757) 718-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

105 Capital St Unit 206
Lynchburg, VA 24502-5223

Mailing address

105 Capital St Unit 206
Lynchburg, VA 24502-5223
Phone (757) 718-6778

Other practice location 1

Villa Vista Bella
Segundo Nivel #46 Calle Fresa
Calle Fresa, Puerto Plata 57131
DO
Phone (757) 718-6778

Other names 1

  • Wellness of Warriors LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1417786542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CAPITAL ST UNIT 206",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025223",
            "telephone_number": "757-718-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CAPITAL ST UNIT 206",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025223",
            "telephone_number": "757-718-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Villa Vista Bella",
            "address_2": "Segundo Nivel #46 Calle Fresa",
            "address_purpose": "LOCATION",
            "city": "Calle Fresa",
            "state": "Puerto Plata",
            "postal_code": "57131",
            "country_code": "DO",
            "telephone_number": "757-718-6778",
            "country_name": "Dominican Republic",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS OF WARRIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-718-6778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness of Warriors LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.