Active NPI
Wellness Accelerated
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
National Provider Identifier
1669233391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caleb Duke, DPT, M.S.ED
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Stuart, FL
- NPI 1194477323
-
- Chiropractor
- Jacksonville, FL
- NPI 1861266421
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.