Individual provider Active NPI

Wade Batchelor, PT

  • Physical Therapist
  • New Boston, TX
National Provider Identifier
1780626416
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1125979 Issued in TX
Practice address
303 N Center St
New Boston, TX 75570-2918
Phone
(903) 628-7700
Fax
(903) 628-7701
NPI assigned
Jun 10, 2006
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5439 AR
Physical Therapist 225100000X 1125979 TX Primary

Addresses

Primary practice location

303 N Center St
New Boston, TX 75570-2918

Mailing address

303 N Center St
New Boston, TX 75570-2918
Phone (903) 628-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050419000360 TX Practitioner - Physical Therapist in Private Practice 8123066404 Reassigns benefits to 1 organization
I20240731001508 AR Practitioner - Physical Therapist in Private Practice 8123066404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Pleasant Physical Therapy PCGroup PAC ID 7315985694, 10 clinicians

Practice addresses (Care Compare)

2510 N Hervey St
Hope, AR 71801-8419
Phone (870) 474-5060

303 N Ctr St
New Boston, TX 75570-2918
Phone (903) 628-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1125979TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Pleasant Physical Therapy PC Physical Therapist CurrentSince Sep 20, 2004 Accepting new patients
Premier Home Care, Inc. PastSince Apr 30, 2003 Accepting new patients

Locations

2510 N Hervey St
Hope, AR 71801
Phone (870) 474-5060

203 E Front St
De Kalb, TX 75559
Phone (903) 667-7000

303 N Center St
New Boston, TX 75570
Phone (903) 577-3700

5416 Plaza Dr
Texarkana, TX 75503
Phone (903) 791-0333

600 N Kings Hwy
Ste 2
Wake Village, TX 75501
Phone (903) 794-0055

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1780626416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CENTER ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702918",
            "telephone_number": "903-628-7700",
            "fax_number": "903-628-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CENTER ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702918",
            "telephone_number": "903-628-7700",
            "fax_number": "903-628-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHELOR",
        "first_name": "WADE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5439",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1125979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Boston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.