PTX Wellness and Performance Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PTX WELLNESS AND PERFORMANCE THERAPY

Practice address

613 Profit St
Azle, TX 76020-2421

Phone

(682) 453-7102

Fax

(817) 665-3815

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Alex Gustaf, DPTNPI 1225410608

Title

Owner/ Physical Therapist

Phone

(817) 881-3543

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Alex Gustaf, PT

  • Physical Therapist
  • Azle, TX
  • NPI 1225410608
  NPD Authorized official
• Kelsey Robers

  • Physical Therapist
  • Azle, TX
  • NPI 1144997685
  NPD
• Marisah Mata

  • Physical Therapist
  • Azle, TX
  • NPI 1750210894
  NPD (past)
• Vikki Crisco, PT, DPT

  • Physical Therapist
  • St Thomas, VI
  • NPI 1396125563
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1659011831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 EAGLE MOUNTAIN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761359151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PROFIT ST",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202421",
            "telephone_number": "682-453-7102",
            "fax_number": "817-665-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8085 Eagle Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761359151",
            "country_code": "US",
            "telephone_number": "817-881-3543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PTX WELLNESS AND PERFORMANCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "GUSTAF",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-881-3543",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlynn Perry, DPY
• Jessica Pierce
• Alisha Brooke Porter, D.D.S.
• Joe Bob Porter, D.O.
• Emily Beth Pritchett, LVN
• Amy Qualls, RNFA
• Debbie Rangel, APRN, FNP-BC
• Brenda Lea Reed, FNP
• Kyle Larry Reeves, D.D.S.
• Thomas L Reid Jr., LPT

• Physical Therapist in Azle, TX
• Providers in Azle, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.