Organization Active NPI

Wellnesspros, Inc.

  • Physical Therapist
  • New Smyrna Beach, FL
National Provider Identifier
1760761191
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 4444 Issued in FL
Legal business name
WELLNESSPROS, INC.
Practice address
143 Live Oak CT
New Smyrna Beach, FL 32168-7923
Phone
(386) 212-1677
NPI assigned
Aug 16, 2011
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Jeffrey R Berner
Title
Pceo
Phone
(386) 212-1677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 4444 FL Primary

Addresses

Primary practice location

143 Live Oak CT
New Smyrna Beach, FL 32168-7923

Mailing address

143 Live Oak CT
New Smyrna Beach, FL 32168-7923

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1760761191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LIVE OAK CT",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LIVE OAK CT",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687923",
            "telephone_number": "386-212-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSPROS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PCEO",
        "authorized_official_telephone_number": "386-212-1677"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 4444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.