Organization Active NPI

Allied Physical Medicine, PA

  • General Practice Physician
  • Round Rock, TX
National Provider Identifier
1235679242
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALLIED PHYSICAL MEDICINE, PA
Practice address
1930 Rawhide Dr Ste 308
Round Rock, TX 78681-6954
Phone
(214) 547-7234
Fax
(214) 547-7236
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kenneth R Wilson II, D.C.
Title
Office Manager
Phone
(214) 547-7234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1930 Rawhide Dr Ste 308
Round Rock, TX 78681-6954

Mailing address

309 S Jupiter Rd Ste 100
Allen, TX 75002-3052
Phone (214) 547-7234

National Provider Directory

National Provider Directory
Tax ID family
Allied Physical Medicine PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235679242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S JUPITER RD STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023052",
            "telephone_number": "214-547-7234",
            "fax_number": "214-547-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 RAWHIDE DR STE 308",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816954",
            "telephone_number": "214-547-7234",
            "fax_number": "214-547-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-547-7234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.