Organization Active NPI

Won Life Physical Therapy and Wellness PC

  • Physical Therapist
  • Seaside, CA
National Provider Identifier
1487407607
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WON LIFE PHYSICAL THERAPY AND WELLNESS PC
Practice address
1246 Harcourt Ave Apt B
Seaside, CA 93955-5417
Phone
(831) 320-0634
Fax
(831) 515-8662
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Michael Romiza, PTNPI 1174088892
Title
Owner
Phone
(831) 320-0634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1246 Harcourt Ave Apt B
Seaside, CA 93955-5417

Mailing address

1246 Harcourt Ave Apt B
Seaside, CA 93955-5417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250311003815 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789105347 Receives reassigned benefits from 1 practitioner
Practice locations: Seaside, CA

National Provider Directory

National Provider Directory

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": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1487407607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 HARCOURT AVE APT B",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 HARCOURT AVE APT B",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555417",
            "telephone_number": "831-320-0634",
            "fax_number": "831-515-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON LIFE PHYSICAL THERAPY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "ROMIZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-320-0634",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.