WT Manor LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

111344 Issued in TX

Legal business name

WT MANOR LP

Doing business as

Westward Trails Rehabilitation and Healthcare Center

Practice address

3001 Westward Dr
Nacogdoches, TX 75964-1232

Phone

(936) 569-2631

Fax

(936) 569-0590

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Henry Martel

Title

President

Phone

(210) 545-6320

Specialties & licenses 1

Addresses

Other names 1

• Westward Trails Rehabilitation and Healthcare Center Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396787834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 WESTWARD DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759641232",
            "telephone_number": "936-569-2631",
            "fax_number": "936-569-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 WESTWARD DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759641232",
            "telephone_number": "936-569-2631",
            "fax_number": "936-569-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WT MANOR LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-545-6320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westward Trails Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janae Kimberly Wojasinski, LPC
• Wallace D Womack, CRNA
• Emily Diana Woodruff, PTA
• Chelsi Woods
• Carrie Wright, IBCLC
• Kangni Wu
• Stephen Edward Wyatt, PHARMD, RPH
• Xiomara Velazco, M.D. P.a.
• Darrell G Yarbrough, LCSW
• Emma Yeager, LCSW

• Skilled Nursing Facility in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.