Active NPI
Allison Wade, PT, DPT
- Physical Therapist
- League City, TX
National Provider Identifier
1457754707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1245637
- Practice address
- 3027 Marina Bay Dr Ste 344
League City, TX 77573-3089 - Phone
- (281) 968-2745
- Fax
- (281) 968-2747
- NPI assigned
- Oct 1, 2014
- Last updated
- Jul 21, 2021
- Sex
- Female
- 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 | 1245637 | TX | Primary |
Addresses
Primary practice location
3027 Marina Bay Dr Ste 344
League City, TX 77573-3089
Mailing address
3027 Marina Bay Dr Ste 344
League City, TX 77573-3089
Phone (281) 968-2745
Other practice location 1
23750 Fm 1314 Rd
Porter, TX 77365-3713
Phone (281) 354-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1245637 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Development Therapies, LLC | Past | Accepting new patients | |
| First Choice Childrens Homecare LP | Past | Accepting new patients | |
| Tri-County Behavioral Healthcare | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Porter, TX
- NPI 1417967944
-
dba Thrive Skilled Pediatric Care
- Home Health Agency
- Stafford, TX
- NPI 1487634739
-
- Multi-Specialty Clinic/Center
- Conroe, TX
- NPI 1851333074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1457754707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 MARINA BAY DR STE 344",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733089",
"telephone_number": "281-968-2745",
"fax_number": "281-968-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 MARINA BAY DR STE 344",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733089",
"telephone_number": "281-968-2745",
"fax_number": "281-968-2747"
}
],
"practiceLocations": [
{
"address_1": "23750 Fm 1314 Rd",
"address_purpose": "LOCATION",
"city": "Porter",
"state": "TX",
"postal_code": "773653713",
"country_code": "US",
"telephone_number": "281-354-3383",
"fax_number": "281-354-6750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADE",
"first_name": "ALLISON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-01",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1245637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.