Active NPI
Health & Wholeness Center LLC
- Physical Therapy Clinic/Center
- Indianapolis, IN
National Provider Identifier
1902604358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- HEALTH & WHOLENESS CENTER LLC
- Practice address
- 3510 S Keystone Ave Ste B
Indianapolis, IN 46227-3594 - Phone
- (317) 444-8466
- NPI assigned
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer L Stauth
- Title
- Owner
- Phone
- (480) 603-7650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
3510 S Keystone Ave Ste B
Indianapolis, IN 46227-3594
Mailing address
6727 Everglades CT
Indianapolis, IN 46217-3920
Phone (480) 603-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250429000845 | IN | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2860918216 |
Receives reassigned benefits from 1 practitioner Practice locations: Indianapolis, IN |
National Provider Directory
National Provider DirectoryLocations
3510 S Keystone Ave
Ste B
Indianapolis, IN 46227
Phone (317) 444-8466
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": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1902604358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6727 EVERGLADES CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462173920",
"telephone_number": "480-603-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 S KEYSTONE AVE STE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462273594",
"telephone_number": "317-444-8466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH & WHOLENESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "STAUTH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-603-7650"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
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- Health & Hospital Corporation of Marion County
- Health & Hospital Corporation of Marion County
- Health & Hospital Corporation of Marion County
- Health 1St Chiropractic of Plainfield Inc.
- Health 1St Clinical Services Inc
- Health 1St of Greenfield, PC
- Health 1St of Indy NW
- Health 1St of Indy NW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.