Fall Forward Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FALL FORWARD WELLNESS CENTER

Practice address

12709 Caldwell Rd
Charlotte, NC 28213-3811

Phone

(704) 968-2466

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Denise Melendez

Title

Business Development Manager

Phone

(954) 857-8479

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1487270674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 CALDWELL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133811",
            "telephone_number": "704-968-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 CALDWELL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133811",
            "telephone_number": "704-968-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL FORWARD WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT MANAGER",
        "authorized_official_telephone_number": "954-857-8479",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA PROFESSIONAL PRACTICE BOARD",
            "identifier": "LCAS-20838",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amalia Silvia Falcon, MD
• Bianca Anjelica Falcone, MD
• Michael Thomas Falcone, M.D.
• Breeanna Teresa Faleschini
• Dominique Andre Falewee, MD
• Tamarae Dawn Fall
• Joan M Fallon, OTR
• Ashley W. Falls, NP
• Lucy Holland Falls, RD
• Emily Fam, CPNP-AC

• Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.