Organization Active NPI

Wellstreet Home Therapy & Medical

  • Home Health Agency
  • Fountain Hills, AZ
National Provider Identifier
1881990414
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELLSTREET HOME THERAPY & MEDICAL
Practice address
16626 E Avenue of the Fountains
Ste. 102
Fountain Hills, AZ 85268-8202
Phone
(480) 836-2240
Fax
(480) 836-2217
NPI assigned
Jan 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Jason P Marino, PTNPI 1689837122
Title
Administrator
Phone
(480) 836-2240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16626 E Avenue of the Fountains
Ste. 102
Fountain Hills, AZ 85268-8202

Mailing address

16626 E Avenue of the Fountains
Ste. 102
Fountain Hills, AZ 85268-8202
Phone (480) 836-2240

National Provider Directory

National Provider Directory

Locations

16626 E Avenue of the Fountains
Ste 102
Fountain Hills, AZ 85268
Phone (480) 836-2240

14980 N 78th Way
Ste 208
Scottsdale, AZ 85260
Phone (480) 836-2240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1881990414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16626 E AVENUE OF THE FOUNTAINS",
            "address_2": "STE. 102",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688202",
            "telephone_number": "480-836-2240",
            "fax_number": "480-836-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16626 E AVENUE OF THE FOUNTAINS",
            "address_2": "STE. 102",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688202",
            "telephone_number": "480-836-2240",
            "fax_number": "480-836-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTREET HOME THERAPY & MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-836-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.