Provider Demographics
NPI:1073139911
Name:HEALIX PHYSICAL THERAPY AND WELLNESS
Entity Type:Organization
Organization Name:HEALIX PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:609-972-8447
Mailing Address - Street 1:743 SHUNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-4404
Mailing Address - Country:US
Mailing Address - Phone:609-972-8447
Mailing Address - Fax:
Practice Address - Street 1:743 SHUNPIKE RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-4404
Practice Address - Country:US
Practice Address - Phone:609-972-8447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty