NPIMap

Organization Active NPI

Delong Wellness, LLC

  • Physical Therapy Clinic/Center
  • Bloomington, IN
National Provider Identifier
1700279007
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05001594A Issued in IN
Legal business name
DELONG WELLNESS, LLC
Practice address
218 N Rogers St
Bloomington, IN 47404-3969
Phone
(812) 955-0770
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Janet Delong, P.T., CHWCNPI 1104219591
Title
Physical Therapist, Wellness Coach
Phone
(812) 955-0770

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 05001594A IN Primary

Addresses

Primary practice location

218 N Rogers St
Bloomington, IN 47404-3969

Mailing address

218 N Rogers St
Bloomington, IN 47404-3969
Phone (812) 955-0770

National Provider Directory

National Provider Directory

Locations

218 N Rogers St
Bloomington, IN 47404
Phone (812) 955-0770

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": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1700279007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043969",
            "telephone_number": "812-955-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043969",
            "telephone_number": "812-955-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELONG WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, WELLNESS COACH",
        "authorized_official_telephone_number": "812-955-0770",
        "authorized_official_credential": "P.T., CHWC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05001594A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.