Organization Active NPI

Woerner Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1710348552
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1183949 Issued in TX
Legal business name
WOERNER PHYSICAL THERAPY LLC
Practice address
1000 Bonnie Brae Ave
Fort Worth, TX 76111-4355
Phone
(682) 235-3816
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Marie B Woerner, PT, DPT, WCS, CLTNPI 1588814768
Title
Owner,Physical Therapist
Phone
(682) 235-3816

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1183949 TX Primary

Addresses

Primary practice location

1000 Bonnie Brae Ave
Fort Worth, TX 76111-4355

Mailing address

PO Box 12321
Fort Worth, TX 76110-8321
Phone (682) 235-3816

Other practice location 1

9899 E Bankhead Hwy Ste 500
Aledo, TX 76008-3122
Phone (682) 235-3816

Other identifiers 1

IdentifierTypeStateIssuer
8L3503OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160419001313 TX Part B Supplier - Clinic/Group Practice 1759689151 Receives reassigned benefits from 4 practitioners
Practice locations: Aledo, TX; Weatherford, TX; Fort Worth, TX; Burleson, TX

National Provider Directory

National Provider Directory

Locations

9899 E Bankhead Hwy
Ste 500
Aledo, TX 76008
Phone (682) 235-3816

120 SW Haskew St
Ste 200
Burleson, TX 76028
Phone (682) 235-3816

2901 Cleburne Rd
Fort Worth, TX 76110
Phone (682) 235-3816

1810 8th Ave
Ste A
Fort Worth, TX 76110
Phone (682) 235-3816

1000 Bonnie Brae Ave
Ft Worth, TX 76111
Phone (682) 235-3816

111 W Akard St
Ste 200
Weatherford, TX 76086
Phone (682) 235-3816

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1710348552",
    "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": "1000 BONNIE BRAE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761114355",
            "telephone_number": "682-235-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9899 E Bankhead Hwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Aledo",
            "state": "TX",
            "postal_code": "760083122",
            "country_code": "US",
            "telephone_number": "682-235-3816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOERNER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "WOERNER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER,PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "682-235-3816",
        "authorized_official_credential": "PT, DPT, WCS, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1183949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8L3503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.