Individual provider Active NPI

Lauren Wilkerson, PTA

  • Physical Therapy Assistant
  • Midlothian, TX
National Provider Identifier
1033708904
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2159648 Issued in TX
Practice address
1000 E Main St Ste 205
Midlothian, TX 76065-3331
Phone
(972) 723-5005
Fax
(972) 723-5008
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2159648 TX Primary

Addresses

Primary practice location

1000 E Main St Ste 205
Midlothian, TX 76065-3331

Mailing address

7411 Jordan LN
Midlothian, TX 76065-5957
Phone (972) 268-1494

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2159648TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Partners of Texas PLLC CurrentSince Jan 17, 2021 Accepting new patients

Locations

1000 E Main St
Ste 205
Midlothian, TX 76065
Phone (972) 723-5005

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.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1033708904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 JORDAN LN",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655957",
            "telephone_number": "972-268-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST STE 205",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653331",
            "telephone_number": "972-723-5005",
            "fax_number": "972-723-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "LAUREN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2159648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.