Provider Demographics
NPI:1922806819
Name:EASY REACH PAIN & INTEGRATED WELLNESS, LLC
Entity type:Organization
Organization Name:EASY REACH PAIN & INTEGRATED WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-530-4602
Mailing Address - Street 1:2001 NW 62ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1865
Mailing Address - Country:US
Mailing Address - Phone:754-200-4822
Mailing Address - Fax:
Practice Address - Street 1:2001 NW 62ND ST STE 101
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1865
Practice Address - Country:US
Practice Address - Phone:754-200-4822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty