NPIMap

Organization Active NPI

Wellness by Physicians, Inc.

Doing business as Physicians Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Fort Myers, FL
National Provider Identifier
1821459322
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WELLNESS BY PHYSICIANS, INC.
Doing business as
Physicians Rehabilitation
Practice address
6150 Diamond Centre CT BLDG 100
Fort Myers, FL 33912-4367
Phone
(239) 768-6396
Fax
(239) 204-3000
NPI assigned
Mar 10, 2016
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
George Ghanem
Title
Coo
Phone
(239) 768-6396

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

6150 Diamond Centre CT BLDG 100
Fort Myers, FL 33912-4367

Mailing address

6150 Diamond Centre CT BLDG 100
Fort Myers, FL 33912-4367
Phone (239) 768-6396

Other names 1

  • Physicians Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630001774 FL Part B Supplier - Clinic/Group Practice 4688966260 Receives reassigned benefits from 24 practitioners
Practice locations: Lady Lake, FL; Wildwood, FL; Port Charlotte, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

24870 S Tamiami Trl
Ste 3
Bonita Springs, FL 34134
Phone (239) 676-3663

600 Lakeview Rd
Ste B
Clearwater, FL 33756
Phone (727) 232-9599

12090 Metro Pkwy
Fort Myers, FL 33966

3417 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 344-9249

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1821459322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT BLDG 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124367",
            "telephone_number": "239-768-6396",
            "fax_number": "239-204-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT BLDG 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124367",
            "telephone_number": "239-768-6396",
            "fax_number": "239-204-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "239-768-6396"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.