Organization Active NPI

Advanced Wellness and Rehab Center

  • Occupational Therapist
  • Dallas, TX
National Provider Identifier
1295841070
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
111489 Issued in TX
Legal business name
ADVANCED WELLNESS AND REHAB CENTER
Practice address
6029 Belt Line Rd Ste 100
Dallas, TX 75254-9137
Phone
(972) 392-7008
Fax
(972) 392-1171
NPI assigned
Aug 22, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Miss Corinna Carla Jumao-As, OTNPI 1568578904
Title
Office Manager
Phone
(972) 392-7008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4635 TX
Acupuncturist 171100000X DC4635 TX
Physical Therapist 225100000X DC4635 TX
Occupational Therapist 225X00000X 111489 TX Primary

Addresses

Primary practice location

6029 Belt Line Rd Ste 100
Dallas, TX 75254-9137

Mailing address

6029 Belt Line Rd Ste 100
Dallas, TX 75254-9137
Phone (972) 392-7008

Other identifiers 3

IdentifierTypeStateIssuer
0034KDOtherTXBLUE CROSS BLUE SHIELD GR
8J3270OtherTXBLUE CROSS BLUE SHIELD
8T4335OtherTXBLUECROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Advanced Wellness and Rehab Center2 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.

Locations

6029 Belt Line Rd
Ste 100
Dallas, TX 75254
Phone (972) 392-7008

Practitioners & affiliated clinicians

Practitioners 2

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295841070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549137",
            "telephone_number": "972-392-7008",
            "fax_number": "972-392-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549137",
            "telephone_number": "972-392-7008",
            "fax_number": "972-392-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JUMAO-AS",
        "authorized_official_first_name": "CORINNA",
        "authorized_official_middle_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-392-7008",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4635",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "DC4635",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "DC4635",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "0034KD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8J3270",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "8T4335",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.