The Therapy & Wellness Group, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE THERAPY & WELLNESS GROUP, INC

Practice address

3160 W Main St
Suite 1
Dothan, AL 36305-1185

Phone

(334) 699-2348

Fax

(334) 699-2347

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mark A Mashburn, PT, OCSNPI 1811062342

Title

Physical Therapist

Phone

(334) 699-2348

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Advance Therapy & Performance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 6

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

• Mark A Mashburn, PT,OCS

  • Physical Therapist
  • Dothan, AL
  • NPI 1811062342
  Medicare reassignment NPD Authorized official
• Julie Groover Harrison, PT, DPT

  • Orthopedic Physical Therapist
  • Troy, AL
  • NPI 1295353043
  Medicare reassignment NPD
• Wesley Iturbide Hudson, DPT

  • Physical Therapist
  • Dothan, AL
  • NPI 1275052946
  NPD
• Kelli Brunson, MS CCC-SLP

  • Speech-Language Pathologist
  • Dothan, AL
  • NPI 1841505906
  NPD (past)
• Marques Alan Gibson, OT

  • Occupational Therapist
  • Dothan, AL
  • NPI 1215192513
  NPD (past)
• Daniel R Peters, PT

  • Physical Therapist
  • Dothan, AL
  • NPI 1063587541
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1740355239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051185",
            "telephone_number": "334-699-2348",
            "fax_number": "334-699-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051185",
            "telephone_number": "334-699-2348",
            "fax_number": "334-699-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY & WELLNESS GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "MASHBURN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "334-699-2348",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-36404",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-32301",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-36412",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-32258",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Therapy & Performance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Therapeutic Resources Inc
• Melody Thielmann, RBT
• Andrew Thomas, LPC
• Ashley Nicole Thomas, MSN, APRN, FNP-C
• Valerie Thomley, C.R.N.P.

• Physical Therapist in Dothan, AL
• Providers in Dothan, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.