Wendy Macon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2072209 Issued in TX

Practice address

3701 Olsen Blvd Unit a
Amarillo, TX 79109-3053

Phone

(806) 467-8181

NPI assigned

Apr 8, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Total Enhancement Therapy Inc.

  • Physical Therapist
  • Amarillo, TX
  • NPI 1518070366
  NPD (past)

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1376869966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 OLSEN BLVD UNIT A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093053",
            "telephone_number": "806-467-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 OLSEN BLVD UNIT A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093053",
            "telephone_number": "806-467-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACON",
        "first_name": "WENDY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2072209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518070366",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752754865",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Machias Friendly Pharmacy
• Rebecca Lynn Mackeen, MA LPC
• Robert Allen Mackeen, LPC-A
• Anitra A Maclaughlin, PHARM.D.
• Eric Maclaughlin, PHARM.D., BCPS
• Jessica M Maddox, LAT
• Roxanne Marie Maddox
• Kristen Faith Madrigal, MS, RD, LD
• Cesar Maese, FNP-C
• Andrew Henslee Mager, DC

• Physical Therapy Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.