Thomas Tarry Wells Jr., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0695 Issued in AK

Practice address

221 W. Marydale Ave
Soldotna, AK 99669

Phone

(907) 262-2596

NPI assigned

Mar 6, 2007

Last updated

Feb 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution Sport and Spine Therapy LLCGroup PAC ID 6507146412, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revolution Sport & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Soldotna, AK
  • NPI 1598215170
  Medicare reassignment Care Compare group NPD
• Independence Healthcare PC

  • Medical Specialty Clinic/Center
  • Soldotna, AK
  • NPI 1891790184
  Medicare reassignment NPD
• Aspen Physical Therapy PC

  • Physical Therapist
  • Soldotna, AK
  • NPI 1174729123
  NPD (past) Authorized official
• Kpo Rehabilitation & Sports Medicine

  • Physical Therapist
  • Kenai, AK
  • NPI 1558796144
  Authorized official Same address or phone
• Kpo Rehabilitation and Sports Medicine Inc.

  • Physical Therapist
  • Soldotna, AK
  • NPI 1740467554
  Authorized official Same address or phone
• Independence Healthcare PC

  dba Corvus Neurology

  • Sleep Disorder Diagnostic Clinic/Center
  • Soldotna, AK
  • NPI 1649861576
  NPD
• Borealis Chiropractic Inc

  • Chiropractor
  • Soldotna, AK
  • NPI 1558800607
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1477683993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697420",
            "telephone_number": "907-262-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W. MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-262-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "THOMAS",
        "middle_name": "TARRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "0695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0695",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valen Wedler, RN
• Lisa Weekley
• Lyndsey Weiler, PT, DPT
• Marcus Weldy
• Stacey Wells, MD
• Linda J Werner, MD
• Jamie Lauralee McCraren West, MA, CCC-SLP
• Kahlin Renee West
• William Oscar West, DC
• Margaret Marie Westner, FNP-BC

• Physical Therapist in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.

Verify at the official NPI Registry.