Healthwell Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291194 Issued in CA

Legal business name

HEALTHWELL PHYSICAL THERAPY

Practice address

1200 Gough St
Suite 700
San Francisco, CA 94109-6655

Phone

(415) 921-1211

Fax

(415) 921-1229

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Kevin Fong, DPT

Title

Physical Therapist

Phone

(415) 921-1211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1558720565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GOUGH ST",
            "address_2": "SUITE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096655",
            "telephone_number": "415-921-1211",
            "fax_number": "415-921-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GOUGH ST",
            "address_2": "SUITE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096655",
            "telephone_number": "415-921-1211",
            "fax_number": "415-921-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWELL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "415-921-1211",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthright360
• Healthright360
• Healthright360
• Healthsolutions360
• Healthwell Inc
• Healthy Aging RX
• Healthy Aging RX, Inc a Pharmacy Corporation
• Healthy Delivery, Inc
• Healthy Life Rehabilitation Center
• Healthypoint Center

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.