Organization Active NPI

Rockwood Wellness Clinic LLC

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1750275947
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROCKWOOD WELLNESS CLINIC LLC
Practice address
1217 Grand Ave
Fort Worth, TX 76164-9041
Phone
(817) 625-7733
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Janis McDaniel
Title
Billing MGR
Phone
(512) 253-7794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1217 Grand Ave
Fort Worth, TX 76164-9041

Mailing address

1217 Grand Ave
Fort Worth, TX 76164-9041
Phone (817) 625-7733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1750275947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 GRAND AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761649041",
            "telephone_number": "817-625-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 GRAND AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761649041",
            "telephone_number": "817-625-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "512-253-7794"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 4, 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.