Active NPI
Mark Worley, P.T.
- Physical Therapist
- Wichita Falls, TX
National Provider Identifier
1003955915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1168977
- Practice address
- 1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211 - Phone
- (940) 322-0771
- Fax
- (940) 766-4943
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- 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 | 1168977 | TX | Primary |
Addresses
Primary practice location
1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211
Mailing address
1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211
Phone (940) 322-0771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0944746-02 | Medicaid | TX | |
| 0031DG | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 1168977 | TX | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1003955915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MIDWESTERN PKWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763022211",
"telephone_number": "940-322-0771",
"fax_number": "940-766-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 MIDWESTERN PKWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763022211",
"telephone_number": "940-322-0771",
"fax_number": "940-766-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1168977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0944746-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0031DG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.