Organization Active NPI

Reclaim Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Palmetto, FL
National Provider Identifier
1851141873
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RECLAIM THERAPY AND WELLNESS LLC
Practice address
10019 Wicker Park PL
Palmetto, FL 34221-1109
Phone
(928) 201-4055
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Lou Ann Moore, MPT
Title
Owner/Manager
Phone
(928) 201-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10019 Wicker Park PL
Palmetto, FL 34221-1109

Mailing address

10019 Wicker Park PL
Palmetto, FL 34221-1109
Phone (928) 201-4055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1851141873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 WICKER PARK PL",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211109",
            "telephone_number": "928-201-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10019 WICKER PARK PL",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211109",
            "telephone_number": "928-201-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LOU ANN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-201-4055",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.