Active NPI
Amy Wolf, DPT
- Physical Therapist
- N Richland Hills, TX
National Provider Identifier
1003296922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1264139
- Practice address
- 8700 N Tarrant Pkwy
Ste 113
N Richland Hills, TX 76182-8464 - Phone
- (817) 498-8344
- Fax
- (817) 498-8702
- NPI assigned
- Jun 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1264139 | TX | Primary |
Addresses
Primary practice location
8700 N Tarrant Pkwy
Ste 113
N Richland Hills, TX 76182-8464
Mailing address
1900 Long Prairie Rd
104
Flower Mound, TX 75022-4217
Phone (972) 724-2400
Other names 1
- Amy Menge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1264139 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coppell Spine & Sports Rehab Limited Partnership | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Coppell, TX
- NPI 1669490629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1003296922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 LONG PRAIRIE RD",
"address_2": "104",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224217",
"telephone_number": "972-724-2400",
"fax_number": "972-724-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 N TARRANT PKWY",
"address_2": "STE 113",
"city": "N RICHLAND HILLS",
"state": "TX",
"postal_code": "761828464",
"telephone_number": "817-498-8344",
"fax_number": "817-498-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "AMY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-05",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1264139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "MENGE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in N Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.