Wellness Matters PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1130250 Issued in TX

Legal business name

WELLNESS MATTERS PC

Practice address

11009 Maelin Dr
Austin, TX 78739-2051

Phone

(512) 275-0282

Fax

(972) 459-3418

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Cullen F Tennison, PTNPI 1720091952

Title

Owner

Phone

(512) 275-0282

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cullen F. Tennison, PT

  • Physical Therapist
  • Austin, TX
  • NPI 1720091952
  Medicare reassignment NPD Authorized official
• Charese Rene Lande, PHYSICAL THERAPIST

  • Physical Therapist
  • Austin, TX
  • NPI 1063676922
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1568656403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11009 MAELIN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392051",
            "telephone_number": "512-275-0282",
            "fax_number": "972-459-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 MAELIN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392051",
            "telephone_number": "512-275-0282",
            "fax_number": "972-459-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MATTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "TENNISON",
        "authorized_official_first_name": "CULLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-275-0282",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1130250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0038HC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellmed Medical Group, P.a. (WellMed Senior Clinic at Midtown)
• Brandy D Wellmon, MS
• Wellness and Equity Alliance
• Wellness Dental,P.C.
• Wellness Integrative Health LLC (SOW HealthCare)
• Wellness Matters Two
• Wellness Med Clinics LLC
• Wellness Path Counseling PLLC
• Wellness Within Mental Health
• Wellnessology PLLC

• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.