Organization Active NPI

Physical Therapy and Wellness Center

  • Physical Therapist
  • Coral Gables, FL
National Provider Identifier
1619006962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15250 Issued in FL
Legal business name
PHYSICAL THERAPY AND WELLNESS CENTER
Practice address
183 Madeira Ave
Coral Gables, FL 33134-4515
Phone
(305) 444-8775
Fax
(305) 444-8774
NPI assigned
Mar 4, 2007
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
Miss Anna K Tischenko, PTNPI 1629219084
Title
President
Phone
(305) 444-8775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT15250 FL Primary

Addresses

Primary practice location

183 Madeira Ave
Coral Gables, FL 33134-4515

Mailing address

183 Madeira Ave
Coral Gables, FL 33134-4515
Phone (305) 444-8775

National Provider Directory

National Provider Directory

Locations

183 Madeira Ave
Coral Gables, FL 33134
Phone (305) 444-8775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619006962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 MADEIRA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344515",
            "telephone_number": "305-444-8775",
            "fax_number": "305-444-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 MADEIRA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344515",
            "telephone_number": "305-444-8775",
            "fax_number": "305-444-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TISCHENKO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-8775",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

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.