Wellspring Therapy Associates, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

WELLSPRING THERAPY ASSOCIATES, LLC

Practice address

10 S Brook St
Suite 2
Cleveland, GA 30528-1151

Phone

(706) 348-2004

Fax

(706) 348-2014

NPI assigned

Oct 20, 2006

Last updated

Jul 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grayson Gentzel, MPT

Title

Administrator

Phone

(706) 348-2004

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1699858191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S. BROOK ST.",
            "address_2": "STE. 2",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305280014",
            "telephone_number": "706-348-2004",
            "fax_number": "706-348-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S BROOK ST",
            "address_2": "SUITE 2",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281151",
            "telephone_number": "706-348-2004",
            "fax_number": "706-348-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "GENTZEL",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-348-2004",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "624036001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edward Hugh Wall, DMD
• William Mark Walters, M.D.
• Westmoreland Haven, Inc. (Mountain Haven)
• Julie Ann Wheeler, LPC
• Christopher Whitaker, PA-C
• White County Board of Commissioners (White County EMS)
• White County School System

• Rehabilitation Clinic/Center in Cleveland, GA
• Providers in Cleveland, GA by specialty
• Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.