Organization Active NPI

Therapeutic Wellness Center

  • Massage Therapist
  • Punta Gorda, FL
National Provider Identifier
1447461819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM 12309 Issued in FL
Legal business name
THERAPEUTIC WELLNESS CENTER
Practice address
100 Madrid Blvd
Suite 411
Punta Gorda, FL 33950-7968
Phone
(941) 833-3344
Fax
(941) 833-0328
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathleen Kelley, L.M.T
Title
Therapist
Phone
(941) 833-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MM 12309 FL Primary

Addresses

Primary practice location

100 Madrid Blvd
Suite 411
Punta Gorda, FL 33950-7968

Mailing address

100 Madrid Blvd
Suite 411
Punta Gorda, FL 33950-7968
Phone (941) 833-3344

National Provider Directory

National Provider Directory

Locations

100 Madrid Blvd
Unit 411
Punta Gorda, FL 33950
Phone (941) 833-3344

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447461819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADRID BLVD",
            "address_2": "SUITE 411",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507968",
            "telephone_number": "941-833-3344",
            "fax_number": "941-833-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADRID BLVD",
            "address_2": "SUITE 411",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507968",
            "telephone_number": "941-833-3344",
            "fax_number": "941-833-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "941-833-3344",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM 12309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • 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.