Active NPI
Holistic Health Physical Therapy and Wellness
- Physical Therapy Clinic/Center
- Bonita Springs, FL
National Provider Identifier
1699451849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- HOLISTIC HEALTH PHYSICAL THERAPY AND WELLNESS
- Practice address
- 24850 Burnt Pine Dr Ste 3
Bonita Springs, FL 34134-0905 - Phone
- (239) 230-3905
- Fax
- (888) 624-3518
- NPI assigned
- Jun 23, 2023
- 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
- Briana Wyatt, PT, DPT
- Title
- Physical Therapist
- Phone
- (630) 415-4638
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 Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
24850 Burnt Pine Dr Ste 3
Bonita Springs, FL 34134-0905
Mailing address
22475 Fountain Lakes Blvd
Estero, FL 33928-2325
Phone (630) 415-4638
National Provider Directory
National Provider DirectoryLocations
24850 Burnt Pine Dr
Ste 3
Bonita Springs, FL 34134
Phone (239) 230-3905
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fort Myers, FL
- NPI 1265078794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1699451849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22475 FOUNTAIN LAKES BLVD",
"city": "ESTERO",
"state": "FL",
"postal_code": "339282325",
"telephone_number": "630-415-4638",
"fax_number": "888-624-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24850 BURNT PINE DR STE 3",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341340905",
"telephone_number": "239-230-3905",
"fax_number": "888-624-3518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC HEALTH PHYSICAL THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "WYATT",
"authorized_official_first_name": "BRIANA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "630-415-4638",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.