Active NPI
Advanced Wellness and Rehab Center
- Occupational Therapist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111489
- 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, 2025
- 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
- Miss Corinna Carla Jumao-As, OT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0034KD | Other | TX | BLUE CROSS BLUE SHIELD GR |
| 8J3270 | Other | TX | BLUE CROSS BLUE SHIELD |
| 8T4335 | Other | TX | BLUECROSS BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Wellness and Rehab Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Advanced Wellness & Rehab Center
- Pain Medicine Physician
- Dallas, TX
- NPI 1437201340
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.
-
- Occupational Therapist
- Dallas, TX
- NPI 1568578904
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
- Advanced Spine & Scoliosis Institute, P.a.
- Advanced Spine & Sports Medicine (Alexander Health Services,Inc.)
- Advanced Spine Center
- Advanced Vein & Vascular Associates
- Advanced Wellness & Chiropractic Clinic
- Advanced Women's Healthcare, P.a.
- Advanced Wound Care of North Texas PLLC
- Advancedcare Surgery Center of Dallas, L.L.C.
- Dhillon Rick Advano
- Advant Home Health Services Inc
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.