Shift Wellness LLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

SHIFT WELLNESS LLC

Practice address

346 Quinnipiac St Ste J
Wallingford, CT 06492-4053

Phone

(203) 679-1587

NPI assigned

Nov 14, 2025

Organization subpart

No

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

Authorized official

Name

Joanna Lynn Perez, OT/LNPI 1073371118

Title

Owner

Phone

(203) 679-1587

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna Lynn Perez, OT/L

  • Occupational Therapist
  • North Haven, CT
  • NPI 1073371118
  NPD Authorized official

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1730049503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 QUINNIPIAC ST STE J",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924053",
            "telephone_number": "203-679-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 QUINNIPIAC ST STE J",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924053",
            "telephone_number": "203-679-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-679-1587",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Rehabilitation Occupational Therapist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Physical Rehabilitation Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.