Wellness Aerobic & Sports Medicine Clinic
Clinic/Center, Physical Therapy in Slidell, LA. Organization (NPI-2).
NPI number1366484719
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1366484719
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellness Aerobic & Sports Medicine Clinic
- Organization subpart
- No
- Enumeration date
- Jun 11, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
1311 Gause BlvdSlidell, LA 70458-3015
Phone 985-649-6577
Mailing address
1311 Gause BlvdSlidell, LA 70458-3015
Phone 985-649-6577
Authorized official
Kim A Abney
Operations Manager
9856496577
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All 9 Physical Therapy Clinic/Center providers in Slidell · All 2,622 providers in Slidell
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