Teresa Ann Wollo, CRT, RCP

Primary specialty

Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X

License

65179 Issued in TX

Practice address

5925 Maple Ave
150
Dallas, TX 75235-6515

Phone

(214) 353-9090

Fax

(214) 353-9594

NPI assigned

May 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Teresa Ann Clarkson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1790951929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 MAPLE AVE",
            "address_2": "150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356515",
            "telephone_number": "214-353-9090",
            "fax_number": "214-353-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 MAPLE AVE",
            "address_2": "150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356515",
            "telephone_number": "214-353-9090",
            "fax_number": "214-353-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLO",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRT, RCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "TX",
            "license": "65179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1754376-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "CLARKSON",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "CRT,RCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Louise Wolgat Polanco, DPT
• Joshua Paul Wolkin, LPC
• Casey Wollenman
• Rebekah Cagney Wollenman, FNP-C
• Sandra Lee Wollerton, CAFI
• Andre Woloshuk
• Ann G Wolovits, LPC
• Joshua Seth Wolovits, MD
• Laura E Wolovits, MD
• Austin Wolstein, DO

• Certified Respiratory Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Certified Respiratory Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.