Organization Active NPI

Healthworks Physical Therapy, Inc.

  • Physical Therapist
  • Vero Beach, FL
National Provider Identifier
1699045062
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2969 Issued in FL
Legal business name
HEALTHWORKS PHYSICAL THERAPY, INC.
Practice address
1060 6TH Ave
Vero Beach, FL 32960-5922
Phone
(772) 299-3383
Fax
(772) 299-3367
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Mr. Ronald Keith Wilson, PTNPI 1265658652
Title
President
Phone
(772) 299-3383

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT2969 FL Primary

Addresses

Primary practice location

1060 6TH Ave
Vero Beach, FL 32960-5922

Mailing address

4240 5TH St
Vero Beach, FL 32968-1963
Phone (772) 299-3383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170329001061 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800053026 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

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": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1699045062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 5TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329681963",
            "telephone_number": "772-299-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 6TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605922",
            "telephone_number": "772-299-3383",
            "fax_number": "772-299-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWORKS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-299-3383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.