Individual provider Active NPI

Aaron Wells, PT, MPT

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1013115260
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1202073 Issued in TX
Practice address
1700 E Palm Valley Blvd
Ste 395
Round Rock, TX 78664-4677
Phone
(512) 354-4067
Fax
(512) 354-4068
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1202073 TX Primary

Addresses

Primary practice location

1700 E Palm Valley Blvd
Ste 395
Round Rock, TX 78664-4677

Mailing address

204 S Interstate 35
Ste 203
Georgetown, TX 78628-4126
Phone (512) 863-7761

Other identifiers 4

IdentifierTypeStateIssuer
18708OtherKYBGFH
1013115260OtherKYTRICARE
528714OtherKYANTHEM
1232641OtherKYCHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000006 TX Practitioner - Physical Therapist in Private Practice 1456445139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarol Ventures LLC Physical Therapist CurrentSince Mar 27, 2022 Accepting new patients
Texas Physical Therapy Specialists Past Accepting new patients

Locations

1700 E Palm Valley Blvd
Ste 395
Round Rock, TX 78664
Phone (512) 354-4067

Networks

  • TX HMO
  • TX HMO D-SNP
  • NM HMO C-SNP

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1013115260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S INTERSTATE 35",
            "address_2": "STE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284126",
            "telephone_number": "512-863-7761",
            "fax_number": "512-863-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E PALM VALLEY BLVD",
            "address_2": "STE 395",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644677",
            "telephone_number": "512-354-4067",
            "fax_number": "512-354-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "AARON",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1202073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BGFH",
            "identifier": "18708",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1013115260",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "528714",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1232641",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.