Marie Breithaupt Woerner, PT, DPT, WCS, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1183949 Issued in TX

Practice address

2901 Cleburne Rd
Fort Worth, TX 76110-3400

Phone

(682) 235-3816

Fax

(817) 887-2719

NPI assigned

Sep 24, 2008

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woerner Physical Therapy LLCGroup PAC ID 1759689151, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woerner Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1710348552
  Medicare reassignment Care Compare group Authorized official
• Bortnick Therapy Enterprises, PLLC

  • Physical Therapy Clinic/Center
  • Bedford, TX
  • NPI 1285441352

  Physical Therapist

  NPD (past)
• H2 Health Pelvic Services LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1396660387
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588814768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12321",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761108321",
            "telephone_number": "682-235-3816",
            "fax_number": "817-887-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CLEBURNE RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103400",
            "telephone_number": "682-235-3816",
            "fax_number": "817-887-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 8th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761101352",
            "country_code": "US",
            "telephone_number": "682-235-3816",
            "fax_number": "817-887-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOERNER",
        "first_name": "MARIE",
        "middle_name": "BREITHAUPT",
        "credential": "PT, DPT, WCS, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1183949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199825402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00693133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "875T31",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Witter, MPAS, PA-C
• Carly Witulski, FNP
• Heather Witzke, LCSW
• Kurtt R Wix, DO
• Woerner Physical Therapy LLC
• Phillip Steven Woessner, PA-C
• Daina Wofford
• Ogechi Wogugu, PHARM.D.
• Vivian Woh
• Amday Wolde, MD

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.