Active NPI
Wound Guru
- Physical Therapist
- Jasper, TX
National Provider Identifier
1245965268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pierre Navarrete
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1156695 | Other | TX | STATE PHYSICAL THERAPY LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Jasper, TX
- NPI 1376879072
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.