Well Performance Institute, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

WELL PERFORMANCE INSTITUTE, LLC

Practice address

22611 Markey CT Ste 105
Sterling, VA 20166-6925

Phone

(787) 469-8230

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jean Carlos Rodriguez, DC

Title

Owner/Ceo

Phone

(787) 469-8230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1700650488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22611 MARKEY CT STE 105",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666925",
            "telephone_number": "787-469-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22611 MARKEY CT STE 105",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666925",
            "telephone_number": "787-469-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL PERFORMANCE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "787-469-8230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Su Chong Weber, M.D.
• Mary Dohanh Weems, PHARMD
• Wegmans Food Markets, Inc.
• Nathan Evan Welever, MS, VATL, ATC
• Jon R Welker, JON WELKER
• Wellness Home Care LLC
• Febben K Wessenu
• West Lake Internal Medicine
• Terryl A. White, D.D.S., M.S.
• Mary C Wiggins, LPC

• Sports Physician Chiropractor in Sterling, VA
• Providers in Sterling, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.