Individual provider Active NPI

Salena Crystal Wolfram, DPT

  • Physical Therapist
  • Royal Palm Beach, FL
National Provider Identifier
1740606722
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35127 Issued in FL
Practice address
147 Sevilla Ave
Royal Palm Beach, FL 33411-1117
Phone
(559) 318-6883
NPI assigned
Mar 13, 2014
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41154 CA
Physical Therapist 225100000X PT35127 FL Primary

Addresses

Primary practice location

147 Sevilla Ave
Royal Palm Beach, FL 33411-1117

Mailing address

147 Sevilla Ave
Royal Palm Beach, FL 33411-1117
Phone (559) 318-6883

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL novoleosalena@gmail.com Direct Health and Fitness Solutions LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41154CAMDPhysical Therapist
PT35127FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1740606722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SEVILLA AVE",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111117",
            "telephone_number": "559-318-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SEVILLA AVE",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111117",
            "telephone_number": "559-318-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFRAM",
        "first_name": "SALENA",
        "middle_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41154",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "novoleosalena@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "business email address",
            "affiliationName": "Health and Fitness Solutions LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1939 Circle Dr",
            "city": "North Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334082605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.