Kevin Wiener, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1345298 Issued in TX

Practice address

1891 N Lee Trevino Dr
El Paso, TX 79936-4127

Phone

(915) 593-3787

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Paso Physical Therapy Specialists LLC

  dba El Paso Physical Therapy Services

  • Physical Therapist
  • El Paso, TX
  • NPI 1821619115
  Medicare reassignment Care Compare group NPD
• El Paso Therapy Services Inc

  dba EL Paso Physical Therapy Services

  • Physical Therapist
  • El Paso, TX
  • NPI 1902915846
  NPD (past)

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1063087575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6578 JIM DE GROAT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127319",
            "telephone_number": "191-592-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 N LEE TREVINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364127",
            "telephone_number": "915-593-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1345298",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1345298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Kenneth Wiant Jr., MD
• Rebecca Wickenheiser
• Ellen Mamie Wicker, DO
• Samantha D Widmer
• Kristina M Wieland, MD
• Joanne Bradley Wieters, MSW
• David Steven Wilbanks, DDS
• Taneka Latrice Wilborn, ANP-BC
• Amber Nicole Wilcox, MSN, APRN, FNP-C
• James A. Wilcox, DO

• Physical Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.