Distinctive Physical Therapy and Wellness Center PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

DISTINCTIVE PHYSICAL THERAPY AND WELLNESS CENTER PLLC

Practice address

9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889

Phone

(281) 394-4704

Fax

(281) 768-3602

NPI assigned

Oct 21, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Howze Moore, DPTNPI 1336484088

Title

Owner

Phone

(281) 394-4704

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Michelle Howze Moore, DPT

  • Orthopedic Physical Therapist
  • Shenandoah, TX
  • NPI 1336484088
  Medicare reassignment Care Compare group NPD Authorized official
• Jadan Matthews- Barnett, DPT

  • Physical Therapist
  • The Woodlands, TX
  • NPI 1093674897
  Medicare reassignment Care Compare group NPD (past)
• Julia Di Paolo, DPT

  • Physical Therapist
  • The Woodlands, TX
  • NPI 1962312306
  NPD (past)

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1679236038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27495 HALEY LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864211",
            "telephone_number": "281-394-4704",
            "fax_number": "281-768-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 PINECROFT DR STE 200",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803889",
            "telephone_number": "281-394-4704",
            "fax_number": "281-768-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE PHYSICAL THERAPY AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "HOWZE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-394-4704",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1208453",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ella Dickens, MS, LPC, LCDC
• Afton M Dickerson, NP
• Robert James Difilippo, AGACNP
• Digestive Specialists of North Harris County PA (Digestive Specialists, PA)
• Nicole Marie Dion Jenson
• Tiffany DO, M.A., CCC-SLP
• Jamie Respondek Doan, FNP-C
• Kendel Dolen, FNP
• Lindsay Marie Domangue, PA
• Shelby Doyle, LCSW

• Orthopedic Physical Therapist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.