Individual provider Active NPI

Wendy Fahle, PT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1770816944
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1-3542-6 Issued in TX
Practice address
16250 Knoll Trail Dr Ste 101
Dallas, TX 75248-2868
Phone
(214) 679-3891
Fax
(469) 405-2994
NPI assigned
Sep 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1-3542-6 TX Primary

Addresses

Primary practice location

16250 Knoll Trail Dr Ste 101
Dallas, TX 75248-2868

Mailing address

PO Box 835613
Richardson, TX 75083-5613
Phone (214) 679-3891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000494 TX Practitioner - Physical Therapist in Private Practice 8123167889 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Mary Ellen NguyenGroup PAC ID 5597195404, 4 clinicians
Stribling PT Plano LLCGroup PAC ID 6406227958, 3 clinicians

Practice addresses (Care Compare)

12271 Coit Rd
Dallas, TX 75251-2300
Phone (972) 685-2780

16250 Knoll Trail Dr
Dallas, TX 75248-2874
Phone (214) 679-3891

1729 N Central Expy
Suite a
Plano, TX 75075-6977
Phone (469) 786-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-3542-6TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Stribling PT Plano LLC Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
On Point MVP LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Mary Ellen Nguyen Physical Therapist CurrentSince Mar 10, 2021 Accepting new patients
Wowyfitness, LLC Physical Therapist CurrentSince May 10, 2022 Accepting new patients
Pitman Creek Physical Therapy P C Physical Therapist PastSince Jun 1, 2019 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

16250 Knoll Trail Dr
Ste 101
Dallas, TX 75248
Phone (214) 679-3891

6911 Frankford Rd
Dallas, TX 75252

1729 N Central Expy
Ste A
Plano, TX 75075
Phone (469) 786-0005

445 Walnut St
Ste 109
Richardson, TX 75081
Phone (972) 899-3473

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1770816944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835613",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750835613",
            "telephone_number": "214-679-3891",
            "fax_number": "469-405-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 KNOLL TRAIL DR STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482868",
            "telephone_number": "214-679-3891",
            "fax_number": "469-405-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHLE",
        "first_name": "WENDY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1-3542-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.