Physicians Wellness Associates PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIANS WELLNESS ASSOCIATES PLLC

Practice address

12213 Pecos Street, Suite 700
Westminster, CO 80234

Phone

(303) 451-5698

Fax

(303) 450-1326

NPI assigned

Nov 7, 2018

Organization subpart

No

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

Authorized official

Name

William G Reilly, MD

Title

Authorized Official

Phone

(817) 410-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1992273916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 EAST STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-410-3800",
            "fax_number": "817-410-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12213 PECOS STREET, SUITE 700",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80234",
            "telephone_number": "303-451-5698",
            "fax_number": "303-450-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS WELLNESS ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-410-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Datta Phillips, DDS
• John C Philman, NP
• Lake David Philpot, MFTC
• John Phinney, PT
• Physical Therapy & Rehabilitation Services, PC
• Lori Lynn Piana, R.N.
• Amber Picciurro, LAC
• Natalia Vanina Piccolo, MA, LPCC
• Allycia Pickens
• Adriann Lynn Pidek, RDN

• Family Medicine Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.