Organization Active NPI

Holistic Health Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1699451849
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Briana Wyatt, PT, DPTNPI 1265078794
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.