Physical Wellness and Rehabilitation, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHYSICAL WELLNESS AND REHABILITATION, LLC

Doing business as

PhysWell Rehab

Practice address

14797 Philips Hwy Ste 114
Jacksonville, FL 32256-3747

Phone

(904) 705-5543

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Lauren ShuteNPI 1932659943

Title

Owner

Phone

(904) 910-2574

Specialties & licenses 1

Addresses

Other names 1

• PhysWell Rehab Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Shute

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1932659943
  NPD Authorized official

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1992307920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14797 PHILIPS HWY STE 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563747",
            "telephone_number": "904-705-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14797 PHILIPS HWY STE 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563747",
            "telephone_number": "904-705-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL WELLNESS AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "SHUTE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-910-2574"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.physwellrehab.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14797 Philips Hwy Ste 114",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322563747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PhysWell Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PhysWell Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physical Medicine Specialists, Inc. (Brooks Rehabilitation Medical Group)
• Physical Therapy Associates of Orange Park, Inc
• Physical Therapy Masters, PA
• Physical Therapy Now Holdings LLC (Physical Therapy Now Jacksonville)
• Physical Therapy Solutions Nefl, Inc.
• Physician Associates of Jacksonville, PA
• Physician Group Holdings, LLC (Ageless Vein Center)
• Physician Sales & Service
• Physicians Aligned
• Physicians for Quality Healthcare, Inc. (Physicians Rehabilitation)

• Rehabilitation Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.