Wellbridge Rehabilitation Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT15109 Issued in FL

Legal business name

WELLBRIDGE REHABILITATION INC

Practice address

8242 22ND Ave N
Saint Petersburg, FL 33710-3614

Phone

(727) 344-0891

Fax

(727) 344-0891

NPI assigned

Feb 26, 2010

Organization subpart

No

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

Authorized official

Name

Scott C Haefele, P.T.

Title

Physical Therapist

Phone

(727) 344-0891

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1962724377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8242 22ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103614",
            "telephone_number": "727-344-0891",
            "fax_number": "727-344-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8242 22ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103614",
            "telephone_number": "727-344-0891",
            "fax_number": "727-344-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBRIDGE REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "HAEFELE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "727-344-0891",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT15109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.