Organization Active NPI

Wellness Rehab Center LLC

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1083027783
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WELLNESS REHAB CENTER LLC
Practice address
11920 Vista del Sol Dr BLDG B
El Paso, TX 79936-6118
Phone
(915) 855-8237
Fax
(915) 751-1660
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Allen WadjaNPI 1164838074
Title
Physical Therapist
Phone
(915) 855-8237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Physical Therapy Clinic/Center 261QP2000X 1074227 TX
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

11920 Vista del Sol Dr BLDG B
El Paso, TX 79936-6118

Mailing address

11920 Vista del Sol Dr BLDG B
El Paso, TX 79936-6118
Phone (915) 855-8237

Other practice location 1

10060 McCombs St Ste H
El Paso, TX 79924-4245
Phone (915) 855-8237

Other names 1

  • Therapy Center of El Paso Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141110000997 TX Part B Supplier - Clinic/Group Practice 6204058126 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX
O20200529001128 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6204058126 Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

11920 Vista del Sol Dr
Ste B
El Paso, TX 79936
Phone (915) 855-8237

10060 McCombs St
Ste H
El Paso, TX 79924
Phone (915) 408-0699

2204 Joe Battle Blvd
Bldg C
El Paso, TX 79938
Phone (915) 224-2443

2204 Joe Battle Blvd
Ste C107
El Paso, TX 79938
Phone (915) 855-8237

2204 Joe Battle Blvd
Ste C108
El Paso, TX 79938
Phone (915) 855-8237

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1083027783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 VISTA DEL SOL DR BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366118",
            "telephone_number": "915-855-8237",
            "fax_number": "915-751-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 VISTA DEL SOL DR BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366118",
            "telephone_number": "915-855-8237",
            "fax_number": "915-751-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10060 McCombs St Ste H",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799244245",
            "country_code": "US",
            "telephone_number": "915-855-8237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "WADJA",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "915-855-8237"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1074227",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Center of El Paso",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Therapy Center of El Paso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.