Active NPI
Breeze Physical Therapy and Wellnes, LLC
- Physical Therapist
- Ormond Beach, FL
National Provider Identifier
1689280679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BREEZE PHYSICAL THERAPY AND WELLNES, LLC
- Practice address
- 200 Plantation Bay Dr
Ormond Beach, FL 32174-9203 - Phone
- (941) 286-4370
- NPI assigned
- Sep 16, 2020
- 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
- Omar Garcia, MSPT
- Title
- Owner
- Phone
- (941) 286-4370
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
200 Plantation Bay Dr
Ormond Beach, FL 32174-9203
Mailing address
200 Plantation Dr Bay Dr
Ormond Beach, FL 32174-9203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4721 E Moody Blvd
Ste 305
Bunnell, FL 32110
Phone (386) 263-8018
200 Plantation Dr
Ormond Beach, FL 32174
Phone (941) 286-4370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Port Charlotte, FL
- NPI 1043262702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600819200000",
"number": "1689280679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PLANTATION DR BAY DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PLANTATION BAY DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749203",
"telephone_number": "941-286-4370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREEZE PHYSICAL THERAPY AND WELLNES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-286-4370",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.