Organization Active NPI

Wellness and Rehab Specialists LLC

  • Physical Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1861795585
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WELLNESS AND REHAB SPECIALISTS LLC
Practice address
2531 SW Fondura Rd
Port Saint Lucie, FL 34953-2773
Phone
(772) 348-4272
Fax
(772) 348-4612
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Cary Edgar
Title
Authorized Official
Phone
(480) 206-6240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2531 SW Fondura Rd
Port Saint Lucie, FL 34953-2773

Mailing address

2531 SW Fondura Rd
Port Saint Lucie, FL 34953-2773
Phone (772) 348-4272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1861795585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 SW FONDURA RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532773",
            "telephone_number": "772-348-4272",
            "fax_number": "772-348-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 SW FONDURA RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532773",
            "telephone_number": "772-348-4272",
            "fax_number": "772-348-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND REHAB SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-206-6240"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.