Organization Active NPI

New Wave Innovations, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
National Provider Identifier
1396484283
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NEW WAVE INNOVATIONS, PLLC
Practice address
3465 National Drive
Suite 210
Plano, TX 75025
Phone
(469) 768-0516
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Dr. Frederick Kyle Comrie, MD
Title
Owner/Managing Director
Phone
(469) 768-0516

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X

Addresses

Primary practice location

3465 National Drive
Suite 210
Plano, TX 75025

Mailing address

3465 National Drive
Suite 210
Plano, TX 75025
Phone (469) 768-0516

National Provider Directory

National Provider Directory

Locations

3465 National Dr
Ste 210
Plano, TX 75025
Phone (469) 768-0516

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1396484283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DRIVE",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "469-768-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DRIVE",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "469-768-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE INNOVATIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "COMRIE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "469-768-0516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.