Active NPI
Wellness Provision LLC
- Durable Medical Equipment & Medical Supplies
- North Palm Beach, FL
National Provider Identifier
1487405155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WELLNESS PROVISION LLC
- Practice address
- 860 US 1 Ste 202B
North Palm Beach, FL 33408-3879 - Phone
- (561) 752-6210
- NPI assigned
- Mar 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dane R Thompson
- Title
- Manager
- Phone
- (561) 970-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
860 US 1 Ste 202B
North Palm Beach, FL 33408-3879
Mailing address
860 US 1 Ste 202B
North Palm Beach, FL 33408-3879
Phone (561) 752-6210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251231003273 | FL | DME Supplier - Medical Supply Company | 8820584576 | Practice locations: North Palm Beach, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Wellness Provision LLC | Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
860 US 1
Ste 202B
North Palm Beach, FL 33408
Phone (561) 752-6210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1487405155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 US 1 STE 202B",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334083879",
"telephone_number": "561-752-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 US 1 STE 202B",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334083879",
"telephone_number": "561-752-6210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS PROVISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-29",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "DANE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-970-9500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.