Xavier M Wheeler-Wyatt

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2182914 Issued in TX

Practice address

28341 Tomball Pkwy Ste 110
Tomball, TX 77375

Phone

(281) 973-2197

NPI assigned

Aug 5, 2024

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1518797497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 DENON LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28341 TOMBALL PKWY STE 110",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-973-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER-WYATT",
        "first_name": "XAVIER",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2182914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West One Medical Group, PLLC
• West San Antonio Two Medical Group, PLLC
• Anasia Ronise West
• Kevin Brady Whatley, M.D.
• Leigh Ann Stiles Wheat, M.S., BCBA
• Amber White
• Taylor White
• William Jeffrey White Jr., HIS
• Michael Joe Whiteley, D.O.
• Suhaila Intiasar Wiley, RN

• Physical Therapy Assistant in Tomball, TX
• Providers in Tomball, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.