Connect Physical Therapy and Wellness Inc

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

Legal business name

CONNECT PHYSICAL THERAPY AND WELLNESS INC

Practice address

6930 Warner Ave Ste 104
Huntington Beach, CA 92647-5316

Phone

(714) 485-9887

Fax

(949) 216-5980

NPI assigned

Aug 20, 2024

Last updated

Sep 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry PickeringNPI 1346661451

Title

Owner

Phone

(714) 488-5397

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Kerry Pickering, PT

  • Neurology Physical Therapist
  • Huntington Beach, CA
  • NPI 1346661451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1881427516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JACARANDA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676224",
            "telephone_number": "714-485-9887",
            "fax_number": "949-216-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 WARNER AVE STE 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475316",
            "telephone_number": "714-485-9887",
            "fax_number": "949-216-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-488-5397"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concertocare California Medical Group, PC
• Concertocare Medical Group of California, P.C.
• Concertocare Medical Group of Maryland, PC
• Concierge Hearing Aid Services Inc
• Holly Conely, BCBA
• Connlee Services LLP (Homewatch CareGivers)
• Connor Ranch Treatment Center
• Susan Conroy
• Conscious Kids
• Constance Bouvier, PH.D., Clinical Psychologist, Inc.

• Neurology Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Neurology Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.