Organization Active NPI

Wellness Professionals

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1740346501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WELLNESS PROFESSIONALS
Practice address
16 Mountain View Ave Ste 102
Longmont, CO 80501-3420
Phone
(303) 702-1991
Fax
(303) 776-1891
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Peterson
Title
Owner
Phone
(303) 702-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

16 Mountain View Ave Ste 102
Longmont, CO 80501-3420

Mailing address

833 Independence Dr
Longmont, CO 80501-3926
Phone (303) 702-1991

Other names 1

  • Energia Stress Management Center Gary Peterson Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740346501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 INDEPENDENCE DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013926",
            "telephone_number": "303-702-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN VIEW AVE STE 102",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013420",
            "telephone_number": "303-702-1991",
            "fax_number": "303-776-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-702-1991"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Energia Stress Management Center Gary Peterson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.