NPIMap

Organization Active NPI

C3 Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1811490287
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
C3 WELLNESS, LLC
Practice address
395 Village Dr
Kissimmee, FL 34759-4012
Phone
(407) 914-9168
Fax
(407) 337-8005
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Crystal Bethea
Title
Owner
Phone
(407) 837-8685

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA58296 FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

395 Village Dr
Kissimmee, FL 34759-4012

Mailing address

2717 Eagle Canyon Dr S
Kissimmee, FL 34746-3170
Phone (407) 914-9168

Other practice location 1

1060 Cypress Pkwy Ste 104
Kissimmee, FL 34759-3328
Phone (407) 914-9168 ext. 1

Other identifiers 3

IdentifierTypeStateIssuer
024831500MedicaidFL
112243500MedicaidFL
113572200MedicaidFL

Other names 2

  • C3 Wellness Spa Doing business as
  • Cut Ahead, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@c3wellness.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806000105 FL Part B Supplier - Clinic/Group Practice 1355605502 Receives reassigned benefits from 10 practitioners
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

1060 Cypress Pkwy
Unit 104
Kissimmee, FL 34759

394 Village Dr
Kissimmee, FL 34759
Phone (407) 914-9168

395 Village Dr
Poinciana, FL 34759
Phone 4079149168 ext. 2

1808 N West Shore Blvd
Tampa, FL 33607
Phone (813) 445-3936

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1811490287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EAGLE CANYON DR S",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463170",
            "telephone_number": "407-914-9168",
            "fax_number": "407-337-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 VILLAGE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594012",
            "telephone_number": "407-914-9168",
            "fax_number": "407-337-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Cypress Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593328",
            "country_code": "US",
            "telephone_number": "407-914-9168 x1",
            "fax_number": "407-337-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C3 WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-837-8685"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58296",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024831500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112243500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113572200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@c3wellness.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "395 Village Dr",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347594012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "C3 Wellness Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cut Ahead, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cut Ahead, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.