NPIMap

Organization Active NPI

Wilco Theranet, LLC

Doing business as Physical Therapy Associates

  • Specialist
  • Huntsville, TX
National Provider Identifier
1679667695
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
640210000 Issued in TX
Legal business name
WILCO THERANET, LLC
Doing business as
Physical Therapy Associates
Practice address
127 Medical Park LN
Huntsville, TX 77340-4972
Phone
(936) 294-0283
Fax
(936) 294-9878
NPI assigned
Oct 3, 2006
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Dallas C Williams, P.T.NPI 1962557074
Title
PT Director / Owner
Phone
(936) 294-0283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU
Specialist 174400000X 640210000 TX Primary

Addresses

Primary practice location

127 Medical Park LN
Huntsville, TX 77340-4972

Mailing address

127 Medical Park LN
Huntsville, TX 77340-4972
Phone (936) 294-0283

Other identifiers 2

IdentifierTypeStateIssuer
152359901MedicaidTX
85643TOtherTXBCBS PROVIDER NUMBER

Other names 1

  • Physical Therapy Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071207000273 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2365531878 Practice locations: Huntsville, TX; Conroe, TX
O20250423002958 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365531878 Receives reassigned benefits from 10 practitioners
Practice locations: Conroe, TX; Huntsville, TX

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1020 Riverwood Ct
Ste 120
Conroe, TX 77304
Phone (936) 294-0283

127 Medical Park Ln
Huntsville, TX 77340
Phone (936) 226-2080

227 State Highway 75 N
Ste 245
Huntsville, TX 77320
Phone (936) 294-0283

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1679667695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404972",
            "telephone_number": "936-294-0283",
            "fax_number": "936-294-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404972",
            "telephone_number": "936-294-0283",
            "fax_number": "936-294-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCO THERANET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PT DIRECTOR / OWNER",
        "authorized_official_telephone_number": "936-294-0283",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "640210000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152359901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "85643T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.