NPIMap

Organization Active NPI

Wonder Pediatric Physical Therapy and Wellness

  • Pediatric Physical Therapist
  • Austin, TX
National Provider Identifier
1790416436
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
WONDER PEDIATRIC PHYSICAL THERAPY AND WELLNESS
Doing business as
Wonder Pediatric Physical Therapy and Wellness
Practice address
6016 Toscana Ave
Austin, TX 78724-6246
Phone
(512) 710-5842
NPI assigned
Jun 22, 2022
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Amreen Ali, DPT, PCSNPI 1366952624
Title
Physical Therapist/Owner
Phone
(832) 231-9937

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

6016 Toscana Ave
Austin, TX 78724-6246

Mailing address

6016 Toscana Ave
Austin, TX 78724-6246
Phone (832) 231-9937

Other identifiers 1

IdentifierTypeStateIssuer
1366952624MedicaidTX

Other names 1

  • Wonder Pediatric Physical Therapy and Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1790416436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 TOSCANA AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787246246",
            "telephone_number": "832-231-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 TOSCANA AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787246246",
            "telephone_number": "512-710-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER PEDIATRIC PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AMREEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "832-231-9937",
        "authorized_official_credential": "DPT, PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366952624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonder Pediatric Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.