Organization Active NPI

Womens Therapy and Wellness Company

Doing business as Wiregrass Therapy and Wellness Company

  • Physical Therapy Clinic/Center
  • Dothan, AL
National Provider Identifier
1588716765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WOMENS THERAPY AND WELLNESS COMPANY
Doing business as
Wiregrass Therapy and Wellness Company
Practice address
407 N Shady LN
Dothan, AL 36303-2946
Phone
(334) 673-7282
Fax
(334) 673-7283
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mitzi Tuttle, PTA
Title
Pta Owner
Phone
(334) 673-7282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

407 N Shady LN
Dothan, AL 36303-2946

Mailing address

407 N Shady LN
Dothan, AL 36303-2946
Phone (334) 673-7282

Other identifiers 1

IdentifierTypeStateIssuer
51503542OtherALBCBS PROVIDER NUMBER

Other names 1

  • Wiregrass Therapy and Wellness Company Doing business as

National Provider Directory

National Provider Directory

Locations

407 N Shady Ln
Dothan, AL 36303
Phone (334) 673-7282

17960 US Highway 431 S
Ste 3
Headland, AL 36345
Phone (334) 693-0930

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588716765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N SHADY LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032946",
            "telephone_number": "334-673-7282",
            "fax_number": "334-673-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N SHADY LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032946",
            "telephone_number": "334-673-7282",
            "fax_number": "334-673-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS THERAPY AND WELLNESS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "MITZI",
        "authorized_official_title_or_position": "PTA  OWNER",
        "authorized_official_telephone_number": "334-673-7282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51503542",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiregrass Therapy and Wellness Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.