Eneberg Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ENEBERG PHYSICAL THERAPY AND WELLNESS

Practice address

2975 67TH Way N
Saint Petersburg, FL 33710-3136

Phone

(615) 448-7287

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Kim Eneberg, PT

Title

Physical Therapist/Owner

Phone

(615) 448-7287

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1659987006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 67TH WAY N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 67TH WAY N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103136",
            "telephone_number": "615-448-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENEBERG PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "ENEBERG",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "615-448-7287",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DO NOT KNOW WHAT THIS IS.",
            "identifier": "1255844916",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "G-suite",
            "affiliation": "N",
            "address_1": "2975 67th Way N",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337103136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Empower Your Energy LLC
• Empowered Minds Therapy LLC
• Encompass Health Rehabilitation Hospital of St. Petersburg, LLC
• James Nesbit Endicott II, MD
• Endocrinology Consultants of St. Petersburg
• Enerqi Wellness Inc
• Fallon Nicole Enfinger, PHARM.D.
• Debbie Engala, PHARM.D., C.PH.
• Erin Engel, M.S., CGC
• Kristen A Engelen, PHARM D

• Physical Therapy Clinic/Center in Saint Petersburg, FL
• Providers in Saint Petersburg, 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 Feb 1, 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.

Verify at the official NPI Registry.