Wayne C Dodd, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1064996 Issued in TX

Practice address

495 Amelia Earhart Dr
Suite B
Brownsville, TX 78521-5716

Phone

(956) 546-7777

Fax

(956) 546-8899

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Laguna Madre Rehabilitation Center

  • Physical Therapist
  • Port Isabel, TX
  • NPI 1982929246
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1346344595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 AMELIA EARHART DR",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785215716",
            "telephone_number": "956-546-7777",
            "fax_number": "956-546-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 AMELIA EARHART DR",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785215716",
            "telephone_number": "956-546-7777",
            "fax_number": "956-546-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "WAYNE",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1064996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142452501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "858057",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jorge E Dominguez, M.D.
• Dora a. Arizmendi
• Martha Abigail Dorador
• Henry Dorsett

• Physical Therapist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.