Organization Active NPI

Lasting Health and Wellness

  • Physical Therapist
  • Waco, TX
National Provider Identifier
1083430003
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LASTING HEALTH AND WELLNESS
Practice address
1107 N Valley Mills Dr Ste 103
Waco, TX 76710-4425
Phone
(254) 203-5040
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Teresa Sebastian Gingles, PT, DPTNPI 1194235598
Title
Owner/Operator
Phone
(904) 501-2626

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1107 N Valley Mills Dr Ste 103
Waco, TX 76710-4425

Mailing address

1107 N Valley Mills Dr Ste 103
Waco, TX 76710-4425
Phone (254) 203-5040

Other names 1

  • Lasting Health and Wellness, PLLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250305002833 TX Part B Supplier - Clinic/Group Practice 0446771554 Receives reassigned benefits from 1 practitioner
Practice locations: Waco, TX

National Provider Directory

National Provider Directory

Locations

1107 N Valley Mills Dr
Ste 103
Waco, TX 76710
Phone (254) 203-5040

Practitioners & affiliated clinicians

Practitioners 1

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1083430003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 N VALLEY MILLS DR STE 103",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104425",
            "telephone_number": "254-203-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N VALLEY MILLS DR STE 103",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104425",
            "telephone_number": "254-203-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-02-07",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "GINGLES",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "SEBASTIAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-501-2626",
        "authorized_official_credential": "PT, DPT"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lasting Health and Wellness, PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lasting Health and Wellness, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.