Organization Active NPI

Wound Guru

  • Physical Therapist
  • Jasper, TX
National Provider Identifier
1245965268
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WOUND GURU
Practice address
103 W Gibson St Ste 100
Jasper, TX 75951-4970
Phone
(970) 250-6134
NPI assigned
Jul 22, 2022
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Pierre NavarreteNPI 1376879072
Title
Owner
Phone
(409) 382-2713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

103 W Gibson St Ste 100
Jasper, TX 75951-4970

Mailing address

103 W Gibson St Ste 100
Jasper, TX 75951-4970
Phone (409) 382-2713

Other identifiers 1

IdentifierTypeStateIssuer
1156695OtherTXSTATE PHYSICAL THERAPY LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1245965268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W GIBSON ST STE 100",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514970",
            "telephone_number": "409-382-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W GIBSON ST STE 100",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514970",
            "telephone_number": "970-250-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND GURU",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-382-2713"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHYSICAL THERAPY LICENSE",
            "identifier": "1156695",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

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