Active NPI
Wells Physical Therapy of Boerne, P.L.L.C.
- Orthopedic Physical Therapist
- Boerne, TX
National Provider Identifier
1619912383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- WELLS PHYSICAL THERAPY OF BOERNE, P.L.L.C.
- Practice address
- 34910 Ih 10 W
Suite 401
Boerne, TX 78006-9229 - Phone
- (830) 816-2611
- Fax
- (830) 816-2688
- NPI assigned
- Jun 18, 2006
- Last updated
- Apr 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent L. Wells, P.T.
- Title
- Owner
- Phone
- (830) 816-2611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | TX | Primary |
Addresses
Primary practice location
34910 Ih 10 W
Suite 401
Boerne, TX 78006-9229
Mailing address
PO Box 1468
Boerne, TX 78006-1468
Phone (830) 816-2611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179987601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
34910 Interstate 10 W
Ste 401
Boerne, TX 78006
Phone (830) 816-2600
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- San Antonio, TX
- NPI 1295746899
-
- Occupational Therapist
- Boerne, TX
- NPI 1811148331
-
- Physical Therapist
- Williamsburg, VA
- NPI 1730479023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365033600000",
"number": "1619912383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1468",
"city": "BOERNE",
"state": "TX",
"postal_code": "780061468",
"telephone_number": "830-816-2611",
"fax_number": "830-816-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34910 IH 10 W",
"address_2": "SUITE 401",
"city": "BOERNE",
"state": "TX",
"postal_code": "780069229",
"telephone_number": "830-816-2611",
"fax_number": "830-816-2688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLS PHYSICAL THERAPY OF BOERNE, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2013-04-04",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-816-2611",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179987601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.