Provider Demographics
NPI:1407725856
Name:CONCIERGE PT AND WELLNESS LLC.
Entity type:Organization
Organization Name:CONCIERGE PT AND WELLNESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:305-240-4797
Mailing Address - Street 1:14452 SW 38TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7830
Mailing Address - Country:US
Mailing Address - Phone:305-240-4797
Mailing Address - Fax:
Practice Address - Street 1:14452 SW 38TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-7830
Practice Address - Country:US
Practice Address - Phone:305-240-4797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy