Well Pelvic Health and Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WELL PELVIC HEALTH AND PHYSICAL THERAPY LLC

Practice address

202 Lawrence LN
Yreka, CA 96097-3341

Phone

(530) 572-1566

Fax

(153) 028-5220

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Lauralee Wessinger Wallace, PTNPI 1326647447

Title

Physical Therapist, Owner

Phone

(530) 340-1490

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lauralee Wallace

  • Physical Therapist
  • Montague, CA
  • NPI 1326647447
  NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1780459842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 BALL MTN LITTLE SHASTA RD",
            "city": "MONTAGUE",
            "state": "CA",
            "postal_code": "960649682",
            "telephone_number": "530-340-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LAWRENCE LN",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973341",
            "telephone_number": "530-572-1566",
            "fax_number": "153-028-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL PELVIC HEALTH AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LAURALEE",
        "authorized_official_middle_name": "WESSINGER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "530-340-1490",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Shane Walsh, PHARM D
• Kareena Lynn Walter, MSW, LCSW
• Angie Louise Wang
• Jean L. Weathers, R.N. , C.M.W.
• Thana A Webb, RN
• James M. Wheat Jr.
• Bryan Alexander Wheeler, RN
• Daryl Wheeler
• Phillip Jon White, P.T.
• Chardilaine Whitlock, FNP-C

• Physical Therapist in Yreka, CA
• Providers in Yreka, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.