Individual provider Active NPI

Nicholas John Wells, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1861666836
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8062 Issued in AZ
Practice address
3941 E Baseline Rd
#101
Gilbert, AZ 85234-2750
Phone
(480) 503-2010
Fax
(480) 503-2300
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8062 AZ Primary

Addresses

Primary practice location

3941 E Baseline Rd
#101
Gilbert, AZ 85234-2750

Mailing address

3941 E Baseline Rd
#101
Gilbert, AZ 85234-2750
Phone (480) 503-2010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000179 AZ Practitioner - Physical Therapist in Private Practice 9739259268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuum Wellness Clinic LLCGroup PAC ID 7012802713, 6 clinicians

Practice addresses (Care Compare)

1075 S Idaho Rd
Suite 210
Apache Junction, AZ 85119-6405
Phone (480) 983-0877

Merit-based Incentive Payment System (MIPS)

Final score
22.68 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Wellness Clinic, LLC CurrentSince Apr 1, 2008 Accepting new patients
Continuum Wellness Clinic LLC Physical Therapist CurrentSince Apr 1, 2008 Accepting new patients

Locations

1075 S Idaho Rd
Ste 210
Apache Junction, AZ 85119
Phone (480) 983-0877

3941 E Baseline Rd
Ste 101
Gilbert, AZ 85234
Phone (480) 503-2010

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208736000000",
    "number": "1861666836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 E BASELINE RD",
            "address_2": "#101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342750",
            "telephone_number": "480-503-2010",
            "fax_number": "480-503-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 E BASELINE RD",
            "address_2": "#101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342750",
            "telephone_number": "480-503-2010",
            "fax_number": "480-503-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.