Organization Active NPI

Wellcare Rehab & Pain Physical Therapy Inc

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1619673225
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WELLCARE REHAB & PAIN PHYSICAL THERAPY INC
Practice address
1520 Brookhollow Dr Ste 30
Santa Ana, CA 92705-5427
Phone
(714) 495-8059
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Hung-Wen Chen, PTNPI 1891837100
Title
Ceo
Phone
(714) 495-8059

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: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1520 Brookhollow Dr Ste 30
Santa Ana, CA 92705-5427

Mailing address

28 Cedarbrook
Irvine, CA 92620-1265
Phone (714) 495-8059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230602000537 CA Part B Supplier - Clinic/Group Practice 2567828684 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

1520 Brookhollow Dr
Ste 30
Santa Ana, CA 92705
Phone (714) 495-8059

Practitioners & affiliated clinicians

Practitioners 2

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1619673225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CEDARBROOK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201265",
            "telephone_number": "714-495-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BROOKHOLLOW DR STE 30",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055427",
            "telephone_number": "714-495-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE REHAB & PAIN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "HUNG-WEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-495-8059",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.