Active NPI
Parker Nainoa Tulang Wade, PT, DPT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1760343263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP050931T
- Practice address
- 4901 Bryant Irvin Rd N
Fort Worth, TX 76107-7673 - Phone
- (817) 433-9742
- NPI assigned
- Nov 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP049269T | AZ | |
| Physical Therapist | 225100000X | CP050931T | TX | Primary |
| Physical Therapist | 225100000X | 65862 | OR |
Addresses
Primary practice location
4901 Bryant Irvin Rd N
Fort Worth, TX 76107-7673
Mailing address
15230 SW 139TH Ave
Portland, OR 97224-1587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP049269T | AZ | MD | Physical Therapist |
| 65862 | OR | MD | Physical Therapist |
| CP050931T | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1760343263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 SW 139TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972241587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 BRYANT IRVIN RD N",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077673",
"telephone_number": "817-433-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "PARKER",
"middle_name": "NAINOA TULANG",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-24",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP049269T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "CP050931T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65862",
"primary": false
}
],
"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 Dec 5, 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.