Active NPI
Philip H. Wuellner, D.P.T.
- Physical Therapist
- Alexandria, LA
National Provider Identifier
1417556333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10716
- Practice address
- Aqilus Health, Inc.
1305 Texas Avenue
Alexandria, LA 71305 - Phone
- (318) 443-5278
- Fax
- (318) 443-1906
- NPI assigned
- Oct 21, 2020
- Last updated
- Oct 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10716 | LA | Primary |
Addresses
Primary practice location
Aqilus Health, Inc.
1305 Texas Avenue
Alexandria, LA 71305
Mailing address
Aqilus Health, Inc.
1305 Texas Avenue
Alexandria, LA 71305
Phone (318) 443-5278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 Texas Ave
Alexandria, LA 71301-4046
Phone (318) 443-5278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10716 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilus Health, Inc | Physical Therapist | Current | Accepting new patients |
Locations
1305 Texas Ave
Alexandria, LA 71301
Phone (318) 443-5278
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1417556333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AQILUS HEALTH, INC.",
"address_2": "1305 TEXAS AVENUE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71305",
"telephone_number": "318-443-5278",
"fax_number": "318-443-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AQILUS HEALTH, INC.",
"address_2": "1305 TEXAS AVENUE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71305",
"telephone_number": "318-443-5278",
"fax_number": "318-443-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUELLNER",
"first_name": "PHILIP",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.