SANDPIPER WELLNESS & THERAPY LLC NPI 1073912606

NPI Information

  • NPI: 1073912606
  • Provider Name: SANDPIPER WELLNESS & THERAPY, LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 1405 SE GOLDTREE DR STE D
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Phone: (772) 800-3990

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NPI Details

SANDPIPER WELLNESS & THERAPY, LLC is a rehabilitation clinic center in Port Saint Lucie, FL. SANDPIPER WELLNESS & THERAPY, LLC NPI is 1073912606. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1405 SE GOLDTREE DR STE D
PORT SAINT LUCIE, FL
ZIP 34952-563
Phone: (772) 800-3990
Fax: (772) 621-2977

The provider's authorized official is John Marino .
The authorized official title is Chairman and has the following contact phone number (772) 800-3990.

The enumeration date for this NPI number is 8/20/2014 and was last updated on 11/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)5646277703302FLORIDANo
2101YM0800XCounselorMental Health5646277703302FLORIDANo
3101YP2500XCounselorProfessional5646277703302FLORIDANo
4208D00000XGeneral PracticeNo
5208D00000XGeneral PracticeFLORIDANo
6324500000XSubstance Abuse Rehabilitation Facility5646277703302FLORIDANo
7261QR0400XClinic/CenterRehabilitationHCC10590FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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