Active NPI
Wesley Powers
- Physical Therapist
- Kyle, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3123040
- Practice address
- 4215 Benner Ste 300
Kyle, TX 78640-2224 - Phone
- (512) 858-5191
- Fax
- (512) 858-5194
- NPI assigned
- Oct 8, 2018
- Last updated
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3123040 | TX | Primary |
Addresses
Primary practice location
4215 Benner Ste 300
Kyle, TX 78640-2224
Mailing address
4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
3110 Guadalupe St
Suite 100
Austin, TX 78705-2858
Phone (512) 675-1359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3123040 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctx3 PLLC | Current | Accepting new patients | |
| Doctx3 PLLC | Current | Accepting new patients | |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510
709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643
9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647
3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Irving, TX
- NPI 1467808618
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Clinic/Center
- Mansfield, TX
- NPI 1437802097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1366917254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SETON CENTER PKWY STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594107",
"telephone_number": "512-439-1000",
"fax_number": "512-439-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 BENNER STE 300",
"city": "KYLE",
"state": "TX",
"postal_code": "786402224",
"telephone_number": "512-858-5191",
"fax_number": "512-858-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "WESLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-08",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3123040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.