Provider Demographics
NPI:1992791891
Name:GET WELL THERAPY, LLC
Entity type:Organization
Organization Name:GET WELL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:941-258-3525
Mailing Address - Street 1:PO BOX 511201
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33951-1201
Mailing Address - Country:US
Mailing Address - Phone:941-258-3525
Mailing Address - Fax:941-258-3526
Practice Address - Street 1:3161 HARBOR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-6754
Practice Address - Country:US
Practice Address - Phone:941-258-3525
Practice Address - Fax:941-258-3526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQL7OtherBLUE CROSS
FLQM7OtherBLUE CROSS BLUE SHIELD
FLQM7OtherBLUE CROSS BLUE SHIELD
FL10-6988Medicare ID - Type Unspecified