Individual provider Active NPI

Thomas P. Werner, P.T., PH.D.

  • Physical Therapist
  • West Lake Hills, TX
National Provider Identifier
1265556567
Registry record updated Nov 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1194947 Issued in TX
Practice address
5000 Bee Cave Rd Ste 204
West Lake Hills, TX 78746-5254
Phone
(512) 329-6617
Fax
(512) 329-6772
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT13162 CA
Physical Therapist 225100000X 0440 NV
Physical Therapist 225100000X 1194947 TX Primary
Physical Therapist 225100000X 2815-24 WI

Addresses

Primary practice location

5000 Bee Cave Rd Ste 204
West Lake Hills, TX 78746-5254

Mailing address

PO Box 4688
Incline Village, NV 89450-4688
Phone (775) 745-5695

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 Philosophy

State licenses

LicenseStateTypeSpecialty
PT13162CAMDPhysical Therapist
0440NVMDPhysical Therapist
1194947TXMDPhysical Therapist
2815-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jane K. O'Brien, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289692800000",
    "number": "1265556567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4688",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894504688",
            "telephone_number": "775-745-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVE RD STE 204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465254",
            "telephone_number": "512-329-6617",
            "fax_number": "512-329-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "P.T., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13162",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0440",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1194947",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2815-24",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2010; 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.