Brunswick Holistic Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6655 Issued in NC

Legal business name

BRUNSWICK HOLISTIC THERAPY INC

Practice address

618 N Howe St
Southport, NC 28461-3426

Phone

(910) 454-0404

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Marybeth Weinacht

Title

President

Phone

(910) 454-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1932390598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613426",
            "telephone_number": "910-454-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK HOLISTIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WEINACHT",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-454-0404"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11212",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kymber Broadhead
• Irene R. Brook, LCSW
• Aaron Lee Brown, D.O.
• Kayde Renee Brown, DPT
• Brunswick Family Medicine PA
• Kurtis Bryan, DMD
• John A'Hearn Burdette, MD
• Carolina Anna Candelaria, MSPT
• Lauren Cannon Durham, CNP
• Amanda Carey, PA-C

• Physical Therapist in Southport, NC
• Providers in Southport, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.