Individual provider Active NPI

Rueben Wisdom Jr., DC

  • Chiropractor
  • Bellaire, TX
National Provider Identifier
1376353847
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16270 Issued in TX
Practice address
5411 Bellaire Blvd
Bellaire, TX 77401-3905
Phone
(800) 404-6050
NPI assigned
Jan 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16270 TX Primary

Addresses

Primary practice location

5411 Bellaire Blvd
Bellaire, TX 77401-3905

Mailing address

PO Box 700688
San Antonio, TX 78270-0688
Phone (800) 404-6050

Other identifiers 1

IdentifierTypeStateIssuer
16270OtherTXCHIROPRACTIC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@airrosti-rehab-ctrs.direct.kno2fy.com Airrosti Rehab Centers, LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128003217 TX Practitioner - Chiropractic 0244769776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16270TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Airrosti Rehab Centers, LLC Rehabilitation CurrentSince Jan 6, 2025 Accepting new patients
Airrosti Rehab Centers Chiropractor Past Accepting new patients

Locations

11714 Wilson Parke Ave
Ste 150
Austin, TX 78726
Phone (512) 346-6611

5411 Bellaire Blvd
Bellaire, TX 77401
Phone (713) 492-5239

15050 Fairfield Village Square Dr
Ste 140
Cypress, TX 77433

100 Bourland Rd
Ste 170B
Keller, TX 76248

1260 E League City Pkwy
Ste 800
League City, TX 77573

1920 Country Place Pkwy
Ste 130
Pearland, TX 77584

3600 Shire Blvd
Ste 102
Richardson, TX 75082

15930 S Great Oaks Dr
Ste A200
Round Rock, TX 78681
Phone (512) 246-3338

111 Tower Dr
Bldg 1
San Antonio, TX 78232
Phone (210) 477-7654

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1376353847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700688",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782700688",
            "telephone_number": "800-404-6050",
            "fax_number": "866-313-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013905",
            "telephone_number": "800-404-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "RUEBEN",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-08",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "16270",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@airrosti-rehab-ctrs.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "Airrosti Rehab Centers, LLC",
            "address_1": "111 Tower Dr Bldg 1",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782323625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.