Health and Wellness Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01004800 Issued in NJ

Legal business name

HEALTH AND WELLNESS PHYSICAL THERAPY LLC

Practice address

412 Pleasant Valley Way Ste 206
West Orange, NJ 07052-2934

Phone

(973) 400-8741

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grace Hancock

Title

Office Manager

Phone

(973) 851-5939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander S Kade, P.T.

  • Physical Therapist
  • Mountain Lakes, NJ
  • NPI 1235220096
  Medicare reassignment NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1548740087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PLEASANT VALLEY WAY STE 206",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PLEASANT VALLEY WAY STE 206",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522934",
            "telephone_number": "973-400-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-851-5939"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01004800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M. Hauck, DPT
• Sherri Lynn Hawthorne, N.P.
• Kai Hayes
• Lisa Erin Hayes, M.D.
• HCP Orange NJ Opcp, LLC
• Health Resources of West Orange LLC (Summit Ridge Center)
• Heart to Heart Health Care Services, LLC
• Heart to Heart Health Care Services, LLC (Heart to Heart Home Care)
• Heart to Heart Health Care Services, LLC (Heart to Heart Home Care)
• Heaven Helping the Needy, Inc

• Physical Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.