NPIMap

Organization Active NPI

Healthwell Inc

Doing business as Healthwell Physical Therapy Group

  • Physical Therapy Clinic/Center
  • San Francisco, CA
National Provider Identifier
1447325865
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HEALTHWELL INC
Doing business as
Healthwell Physical Therapy Group
Practice address
1200 Gough St
Suite 700
San Francisco, CA 94109-6650
Phone
(415) 921-1211
Fax
(415) 921-1229
NPI assigned
Nov 21, 2006
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Ms. Ann Revel Hicks
Title
Business Manager
Phone
(415) 921-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1200 Gough St
Suite 700
San Francisco, CA 94109-6650

Mailing address

1200 Gough St
Suite 700
San Francisco, CA 94109-6650
Phone (415) 921-1211

Other names 1

  • Healthwell Physical Therapy Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000740 CA Part B Supplier - Clinic/Group Practice 2466445481 Receives reassigned benefits from 8 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1447325865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GOUGH ST",
            "address_2": "SUITE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096650",
            "telephone_number": "415-921-1211",
            "fax_number": "415-921-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GOUGH ST",
            "address_2": "SUITE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096650",
            "telephone_number": "415-921-1211",
            "fax_number": "415-921-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "REVEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "415-921-1211",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthwell Physical Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.