Active NPI
Motion Wellness LLC
- Chiropractor
- Williston, FL
National Provider Identifier
1992483010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MOTION WELLNESS LLC
- Practice address
- 510 SW 5TH Ter # B
Williston, FL 32696-2548 - Phone
- (352) 528-5433
- NPI assigned
- Jul 10, 2023
- Last updated
- Jul 10, 2023
- 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
- Dr. Richard J Fontaine III, DC
- Title
- Ceo/Owner
- Phone
- (401) 641-3421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
510 SW 5TH Ter # B
Williston, FL 32696-2548
Mailing address
510 SW 5TH Ter # B
Williston, FL 32696-2548
Phone (352) 528-5433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851660617 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
510 SW 5th Ter
#B
Williston, FL 32696
Phone (352) 528-5433
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Williston, FL
- NPI 1851660617
-
- Chiropractor
- Williston, FL
- NPI 1649673518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688947200000",
"number": "1992483010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SW 5TH TER # B",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326962548",
"telephone_number": "352-528-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SW 5TH TER # B",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326962548",
"telephone_number": "352-528-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTION WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-08",
"status": "A",
"authorized_official_last_name": "FONTAINE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "401-641-3421",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851660617",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williston, FL
- Kathleen Elizabeth McCabe
- Donald L McCoy Jr., DO
- Cliff McCurdy III, PHD
- Darrell Shannon McGehee, L.D.
- Christina Medina
- Danielle Munson, MSN, APRN, FNP-C
- Nature Coast Medical Group PA
- Nature Coast Rehabilitation Inc (Nature Coast Rehabilitation)
- Nature Coast Rehabilitation Inc
- Chantal Marie Nichols, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.