Aspire Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ASPIRE WELLNESS, LLC

Practice address

15065 Kinsman Rd Ste 8
Middlefield, OH 44062-9494

Phone

(937) 903-1013

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Michelle L Polon, PHYSICAL THERAPIST

Title

Managing Member/Owner

Phone

(937) 903-1013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1871196006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 WAKEFIELD CREEK RD",
            "city": "KINSMAN",
            "state": "OH",
            "postal_code": "444289714",
            "telephone_number": "937-903-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15065 KINSMAN RD STE 8",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629494",
            "telephone_number": "937-903-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "POLON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "937-903-1013",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.