Innerglow Empowered Wellness, LLC
Innerglow Empowered Wellness, LLC is a healthcare organization registered as Family Medicine Physician in Riverview, FL, holding Type 2 (organization) NPI 1245028109 since 2025. The authorized official on file is Serena Williams, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245028109 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Innerglow Empowered Wellness, LLC |
| Practice address | 13011 SUMMERFIELD SQUARE DR, Riverview, FL, 33578 |
| Phone | 8134044229 |
| Enumeration date | 2025-04-29 |
| Last updated in NPPES | 2025-04-29 |
Authorized official
| Name | Serena Williams |
|---|---|
| Title | Owner |
| Phone | 8134044229 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Innerglow Empowered Wellness, LLC NPI: 1245028109 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 13011 SUMMERFIELD SQUARE DR, Riverview, FL, 33578
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700030020 | Therapy and Sports Center, Inc. | Organization | Physical Therapist | Riverview, FL |
| 1003140393 | Erin Gardner | Individual | Physical Therapy Assistant | Riverview, FL |
| 1477832962 | Amanda Lewandowski | Individual | Physical Therapist | Riverview, FL |
| 1366056566 | Lindsey Richardson | Individual | Physical Therapist | Riverview, FL |
| 1356082168 | Christopher Boudreau | Individual | Physical Medicine & Rehabilitation Physician | Riverview, FL |
Verify this record
Cross-check NPI 1245028109 against the authoritative CMS record: view Innerglow Empowered Wellness, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Innerglow Empowered Wellness, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-29.