Nikken Wellness Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA61484 Issued in FL

Legal business name

NIKKEN WELLNESS CENTER INC

Practice address

901 S State Road 7
430
Hollywood, FL 33023-6700

Phone

(954) 239-8528

Fax

(954) 239-8845

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Hernando Fernandez, MA 61484

Title

Owner

Phone

(954) 239-8528

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1598051971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S STATE ROAD 7",
            "address_2": "430",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236700",
            "telephone_number": "954-239-8528",
            "fax_number": "954-239-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S STATE ROAD 7",
            "address_2": "430",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236700",
            "telephone_number": "954-239-8528",
            "fax_number": "954-239-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKEN WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "HERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-239-8528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA 61484"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA61484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DPT OF HEALTH",
            "identifier": "MM27002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Hollywood, FL
• Providers in Hollywood, 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 Jun 23, 2011; 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.