Allen Wadja, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1074227 Issued in TX

Practice address

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

Phone

(915) 855-8237

Fax

(915) 751-1660

NPI assigned

Jul 11, 2014

Last updated

Apr 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Rehab Center LLCGroup PAC ID 6204058126, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Home Sweet Home Unlimited, Inc.

  • Home Health Agency
  • El Paso, TX
  • NPI 1619163664

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Wellness Rehab Center LLC

  dba Therapy Center of El Paso

  • Physical Therapist
  • El Paso, TX
  • NPI 1083027783
  Medicare reassignment Care Compare group Authorized official
• Home Sweet Home Unlimited, Inc.

  • Home Health Agency
  • El Paso, TX
  • NPI 1619163664
  NPD (past) Authorized official

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1164838074",
    "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",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799244238",
            "country_code": "US",
            "telephone_number": "915-855-8237 x2",
            "fax_number": "915-751-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADJA",
        "first_name": "ALLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1074227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lysa P Vu, MD
• Stephanie Vu, DDS
• Abhinav Kumar Vulisha, MD
• W.C. Larock, D.C. , P.C.
• Michael Keith Wade, LPC-S
• Brianne Wagenman, PA-C
• Brook Rene Wager, M.D.
• Jacob Aaron Waggoner, PHD
• Elizabeth H. Wagner, MS, ATC,LAT
• Emily Wagner

• 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 Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.