Wellpoint Physical Therapy Services, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1093607 Issued in TX

Legal business name

WELLPOINT PHYSICAL THERAPY SERVICES, P.C.

Practice address

4190 State Highway 6 S
College Station, TX 77845-8964

Phone

(979) 690-1999

Fax

(979) 690-1906

NPI assigned

Mar 20, 2007

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karl Hermann, PT, PHDNPI 1053452532

Title

President

Phone

(979) 690-1999

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karl Matthew Hermann, PT, PHD

  • Physical Therapist
  • College Station, TX
  • NPI 1053452532
  Medicare reassignment NPD Authorized official
• Victoria Hermann, PT, DPT

  • Physical Therapist
  • College Station, TX
  • NPI 1740060755
  Medicare reassignment NPD
• Elizabeth Cunningham Klemm, PT, MPH

  • Orthopedic Physical Therapist
  • College Station, TX
  • NPI 1770837361
  NPD (past)
• Loralyn Lemons, P.T.

  • Physical Therapist
  • College Station, TX
  • NPI 1619124161
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1033234638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11165",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778421165",
            "telephone_number": "979-690-1999",
            "fax_number": "979-690-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 STATE HIGHWAY 6 S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458964",
            "telephone_number": "979-690-1999",
            "fax_number": "979-690-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINT PHYSICAL THERAPY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-690-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1093607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166736201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0057JZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Crist Welch, PH.D.
• T Kenneth Welch, M.D.
• David Randolph Weldon, M.D.
• Jamie Welin
• Wellness With Dr Young PLLC
• Wells Counseling Services, PLLC
• David R Wells, MA, LPC
• Gregg Bennett Wells, M.D.
• Robert Wells
• Wellspring Physician, PA (Recuro Health)

• Physical Therapist in College Station, TX
• Providers in College Station, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.