Organization Active NPI

Wellness Accelerated

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
National Provider Identifier
1669233391
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WELLNESS ACCELERATED
Practice address
6206 Atlantic Blvd Ste 3
Jacksonville, FL 32211-7560
Phone
(904) 569-6901
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Caleb Duke, DPT, M.S.EDNPI 1194477323
Title
Owner
Phone
(904) 569-6901

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

6206 Atlantic Blvd Ste 3
Jacksonville, FL 32211-7560

Mailing address

6206 Atlantic Blvd Ste 3
Jacksonville, FL 32211-7560
Phone (904) 569-6901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923003128 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284175860 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

6206 Atlantic Blvd
Ste 3
Jacksonville, FL 32211
Phone (904) 569-6901

Practitioners & affiliated clinicians

Practitioners 2

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": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1669233391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 ATLANTIC BLVD STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117560",
            "telephone_number": "904-569-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 ATLANTIC BLVD STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117560",
            "telephone_number": "904-569-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ACCELERATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-569-6901",
        "authorized_official_credential": "DPT, M.S.ED"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.