Wellistics Physical Therapy Center L3C

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLISTICS PHYSICAL THERAPY CENTER L3C

Practice address

4228 Williams Blvd Ste 201
Kenner, LA 70065-2270

Phone

(504) 224-8400

Fax

(504) 272-0237

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Griselda Adams

Title

Owner

Phone

(504) 224-8400

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Wellistics Physical Therapy Center L3C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellistics Physical Therapy Center L3C

  • Health Maintenance Organization
  • Metairie, LA
  • NPI 1861848954
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Paul Pellegrin, D.C.

  • Chiropractor
  • Metairie, LA
  • NPI 1336454990
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1669821930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 WILLIAMS BLVD STE 201",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652270",
            "telephone_number": "504-224-8400",
            "fax_number": "504-272-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 WILLIAMS BLVD STE 201",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652270",
            "telephone_number": "504-224-8400",
            "fax_number": "504-272-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLISTICS PHYSICAL THERAPY CENTER L3C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-224-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1669821930",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1861848954",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamondneshay Samirea Terez Ward, MD
• Burton Washington
• Tony Onslow Washington Jr.
• Adam Weinberg, M.D.
• Clay Welch, CRNA
• Wellness Diabetes Supply Inc
• Wellness Institute of Nephrology, LLC (Win)
• Louis Wells Jr.
• Shaniqua Wesley, LCSW
• Michelda West, FNP

• Chiropractor in Kenner, LA
• Providers in Kenner, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.