Healthcare Provider Details

I. General information

NPI: 1487162913
Provider Name (Legal Business Name): HEALTHY CORE PHYSICAL THERAPY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 02/08/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8198 S JOG RD STE 102G
BOYNTON BEACH FL
33472-2900
US

IV. Provider business mailing address

6472 VIREO CT
LAKE WORTH FL
33463-9342
US

V. Phone/Fax

Practice location:
  • Phone: 561-685-6229
  • Fax: 561-232-3135
Mailing address:
  • Phone: 305-332-8862
  • Fax: 561-232-3135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT25979
License Number StateFL

VIII. Authorized Official

Name: DR. KELLY TAMARA MCARTHUR
Title or Position: OWNER
Credential: DPT
Phone: 305-332-8862