Wave Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WAVE THERAPY

Practice address

1515 Lighthouse CT
Gulf Breeze, FL 32563-5900

Phone

(407) 765-9664

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Hosford

Title

Owner

Phone

(850) 512-6949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jessica Mason Hosford, P.T.

  • Physical Therapist
  • Gulf Breeze, FL
  • NPI 1093967879
  Medicare reassignment NPD

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1497243661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LIGHTHOUSE CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635900",
            "telephone_number": "407-765-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LIGHTHOUSE CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635900",
            "telephone_number": "407-765-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "HOSFORD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-512-6949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayden Ward
• Crystal Warner, CSA
• Christopher Neil Watson, PA-C
• Jennifer Michelle Watson, MPT
• Scarlet Watson, MS, CCC-SLP
• Waypoint Direct Primary Care PLLC
• Zachariah Neal Weilenman, MD
• Francisca Welch, RBT
• Dana Wert, ARNP
• Anita S Westafer, M.D.

• Physical Therapy Clinic/Center in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.