Wymer Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1030773 Issued in TX

Legal business name

WYMER PHYSICAL THERAPY

Practice address

4455 S Padre Island Dr
Suite 8
Corpus Christi, TX 78411-5101

Phone

(361) 879-0920

Fax

(361) 879-0940

NPI assigned

Mar 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Daniel Wymer, P.T.

Title

President

Phone

(361) 879-0920

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1003931288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "SUITE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-879-0920",
            "fax_number": "361-879-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "SUITE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-879-0920",
            "fax_number": "361-879-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYMER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "WYMER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-879-0920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1030773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUELINK #",
            "identifier": "28012",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS UPIN#",
            "identifier": "B0028012",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "659504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER #",
            "identifier": "10779438",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080186-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR #",
            "identifier": "200006701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly L Wright, LVN
• Monica Ruby Wright, FNP-C
• Shelly Wright, RNFA
• Yvonne Wright
• David Felix Wu, DO
• Richard Daniel Wymer, PT
• X-Ray on Wheels, Inc.
• X-Ray on Wheels, Inc.
• Danny X Xu, DO
• Ke Tom Xu, MD

• Physical Therapist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.