Bob Wallace Wellness and Rehab Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BOB WALLACE WELLNESS AND REHAB CENTER INC

Practice address

3316 Bob Wallace Ave SW
Huntsville, AL 35805-4008

Phone

(256) 536-9177

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Lori Jones

Title

President/Ceo

Phone

(256) 536-9177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1497987192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 BOB WALLACE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 BOB WALLACE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054008",
            "telephone_number": "256-536-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB WALLACE WELLNESS AND REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "256-536-9177"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Feather Inc
• Stephanie Blume, CRNP
• Aundrea K Blythe
• BMX Health LLC
• Hannah Marie Boaz
• Bobworks LLC
• Tonia P. Boddie, DNP
• Jennifer Boerner, M.S., CCC-SLP
• Gary Boggus
• Elizabeth Sheldrick Bogle, CRNP, FNP

• Physical Therapy Clinic/Center in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.