Active NPI
Lasting Health and Wellness
- Physical Therapist
- Waco, TX
National Provider Identifier
1083430003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Sebastian Gingles, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Waco, TX
- NPI 1194235598
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.