Individual provider Active NPI

Anna Wueller, PT, DPT

  • Physical Therapist
  • Woodville, TX
National Provider Identifier
1336955020
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1402121 Issued in TX
Practice address
1209 W Bluff St
Woodville, TX 75979-4739
Phone
(409) 200-2804
Fax
(409) 200-2997
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1402121 TX Primary

Addresses

Primary practice location

1209 W Bluff St
Woodville, TX 75979-4739

Mailing address

1209 W Bluff St
Woodville, TX 75979-4739
Phone (409) 200-2804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128004536 TX Practitioner - Physical Therapist in Private Practice 9739618299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lambeth Physical Therapy PLLCGroup PAC ID 4284061474, 6 clinicians

Practice addresses (Care Compare)

1209 W Bluff St
Woodville, TX 75979-4739
Phone (409) 200-2804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1402121TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lambeth Physical Therapy PLLC CurrentSince Jan 17, 2025 Accepting new patients

Locations

210 W Park
Ste 101
Livingston, TX 77352
Phone (936) 327-8080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1336955020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794739",
            "telephone_number": "409-200-2804",
            "fax_number": "409-200-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794739",
            "telephone_number": "409-200-2804",
            "fax_number": "409-200-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUELLER",
        "first_name": "ANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1402121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.