Active NPI
Janis a Wells
- Physical Therapist
- Lake Jackson, TX
National Provider Identifier
1396831004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1003994
- Legal business name
- JANIS A WELLS
- Practice address
- 473 This Way St
Lake Jackson, TX 77566-5143 - Phone
- (979) 299-1422
- Fax
- (979) 299-1065
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janis A Wells, PT
- Title
- Owner Therapist
- Phone
- (979) 299-1422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1003994 | TX | Primary |
Addresses
Primary practice location
473 This Way St
Lake Jackson, TX 77566-5143
Mailing address
473 This Way
Lake Jackson, TX 77566
Phone (979) 299-1422
Other names 1
- Life Rehab
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New Waverly, TX
- NPI 1295909042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290124800000",
"number": "1396831004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 THIS WAY",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "77566",
"telephone_number": "979-299-1422",
"fax_number": "979-299-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 THIS WAY ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665143",
"telephone_number": "979-299-1422",
"fax_number": "979-299-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANIS A WELLS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2010-11-19",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "JANIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER THERAPIST",
"authorized_official_telephone_number": "979-299-1422",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1003994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.