Wellbody Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10317 Issued in FL

Legal business name

WELLBODY PHYSICAL THERAPY LLC

Practice address

951 Prim Ave
Suite 18
Graceville, FL 32440-2505

Phone

(850) 209-3007

Fax

(850) 360-5024

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Leo B Ramin, PTNPI 1255385167

Title

Owner/GM

Phone

(850) 360-5016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Leo B Ramin, PT

  • Orthopedic Physical Therapist
  • Graceville, FL
  • NPI 1255385167
  Medicare reassignment Care Compare group NPD Authorized official
• Shelly Greenwood

  • Physical Therapist
  • Graceville, FL
  • NPI 1134524960
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1669879011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 PRIM AVE",
            "city": "GRACEVILLE",
            "state": "FL",
            "postal_code": "324402505",
            "telephone_number": "850-209-3007",
            "fax_number": "850-360-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 PRIM AVE",
            "address_2": "SUITE 18",
            "city": "GRACEVILLE",
            "state": "FL",
            "postal_code": "324402505",
            "telephone_number": "850-209-3007",
            "fax_number": "850-360-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBODY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "RAMIN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/GM",
        "authorized_official_telephone_number": "850-360-5016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "10317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Kerry Taylor
• Jenna Taylor
• Terry E Nichols DMD PA
• Karess Angelica Trawick, PMHNP
• Nicholas Anthony Varcadipane, DMD
• Jerrai Rochelle Young, LMHC, PMHNP-BC

• Physical Therapist in Graceville, FL
• Providers in Graceville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.