Foundations Health and Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FOUNDATIONS HEALTH AND WELLNESS CENTER LLC

Practice address

393 E Main St Ste 8
Hendersonville, TN 37075-2575

Phone

(615) 991-5951

Fax

(503) 845-6030

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Petracci, DC

Title

Owner/Chiropractor

Phone

(615) 991-5951

Specialties & licenses 1

Addresses

Other names 2

• Foundations Chiropractic LLC Doing business as
• Mount Angel Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1760801310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CROOKED CREEK LN",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756713",
            "telephone_number": "503-949-0235",
            "fax_number": "503-845-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E MAIN ST STE 8",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752575",
            "telephone_number": "615-991-5951",
            "fax_number": "503-845-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "PETRACCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "615-991-5951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Angel Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Angel Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Forsythe
• Phillip David Wesley Forsythe, M.D.
• Ashley Rae Fort
• Fortis Physical Therapy LLC
• Laquesa Shantel Foster
• Sarah Fowler, AMFT
• Brenda Fox Dixon
• Charla Fox, OTA/L
• Hanna Fox, FNP
• Kimberly L. Fox, PT

• Chiropractor in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.