Individual provider Active NPI

Dustin Rauch, DO

  • Physical Therapist
  • Waco, TX
National Provider Identifier
1225791593
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1292370 Issued in TX
Practice address
2098 N Valley Mills Dr Ste B
Waco, TX 76710-2585
Phone
(254) 300-7123
Fax
(254) 274-7605
NPI assigned
Oct 14, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1292370 TX Primary

Addresses

Primary practice location

2098 N Valley Mills Dr Ste B
Waco, TX 76710-2585

Mailing address

2098 N Valley Mills Dr Ste B
Waco, TX 76710-2585
Phone (806) 786-6646

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dustin@welldonept.com Direct Well Plus Done Physical Therapy LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1292370TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden Brooke, LLC Current Accepting new patients
Garden Brooke, LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dustin@welldonept.com

Organizations & group practices 2

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1225791593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 N VALLEY MILLS DR STE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102585",
            "telephone_number": "806-786-6646",
            "fax_number": "254-274-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 N VALLEY MILLS DR STE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102585",
            "telephone_number": "254-300-7123",
            "fax_number": "254-274-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCH",
        "first_name": "DUSTIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1292370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dustin@welldonept.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Well Plus Done Physical Therapy LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2098 N Valley Mills Dr Ste B",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767102585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.