Individual provider Active NPI

Wasana Palihapitiya, PT

  • Physical Therapist
  • Tomball, TX
National Provider Identifier
1174178495
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2017038182 Issued in MO
Practice address
11830 Northpointe Blvd
Tomball, TX 77377-5536
Phone
(281) 205-9400
NPI assigned
Aug 4, 2019
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040757 NY
Physical Therapist 225100000X 2017038182 MO Primary

Addresses

Primary practice location

11830 Northpointe Blvd
Tomball, TX 77377-5536

Mailing address

130 Pinto Point PL
The Woodlands, TX 77389-4390
Phone (713) 726-6577

Other names 1

  • Wasana Udayangani Mallika Arachchige Dona Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL gracecarenorthpointe.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621002860 TX Practitioner - Physical Therapist in Private Practice 5395288039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

1999 Lakes of Wedgewood Dr
Conroe, TX 77304-3252
Phone (936) 213-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040757NYMDPharmacist
2017038182MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care Southeast, LLC Physical Therapist CurrentSince Jun 22, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince May 22, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince May 22, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1174178495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PINTO POINT PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773894390",
            "telephone_number": "713-726-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 NORTHPOINTE BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775536",
            "telephone_number": "281-205-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIHAPITIYA",
        "first_name": "WASANA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040757",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017038182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gracecarenorthpointe.com",
            "affiliation": "N",
            "endpointDescription": "PT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11830 Northpointe Blvd",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773775536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WASANA",
            "last_name": "MALLIKA ARACHCHIGE DONA",
            "middle_name": "UDAYANGANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.