Active NPI
Janelle Wadman
- Physical Therapist
- Ormond Beach, FL
National Provider Identifier
1619500154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1275 W Granada Blvd # 4B2
Ormond Beach, FL 32174-8259 - Phone
- (386) 615-1112
- NPI assigned
- Feb 12, 2020
- Last updated
- Jun 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1275 W Granada Blvd # 4B2
Ormond Beach, FL 32174-8259
Mailing address
1 Bracken LN
Palm Coast, FL 32137-8771
Phone (386) 503-3698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622937600000",
"number": "1619500154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BRACKEN LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378771",
"telephone_number": "386-503-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 W GRANADA BLVD # 4B2",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748259",
"telephone_number": "386-615-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADMAN",
"first_name": "JANELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2021-06-06",
"certification_date": "2021-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
- Volusia Brain and Spine LLC
- Volusia Internal Medicine Specialists PA
- Jennifer Von Hein
- Deborah Vonbrocken, PTA
- William Vonlubbe Jr., CRNA
- Baher Bassam Wahba, DPT
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0613)
- Wal-Mart Stores East, LP (Vision Center 30-0613)
- Bobbie June Waldroop
- Walgreen Co (Walgreens #03544)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.