Erin Wonder, PT
Individual provider Active NPI Physical Therapist · Henrietta, TX
NPI 1801092176 · NPPES record last updated Oct 10, 2019
Key facts
- NPI
- 1801092176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3104059 (TX)
- Practice address
- 310 W South St
Henrietta, TX 76365-3346 - Phone
- (940) 235-1219
- Fax
- (940) 235-1220
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3104059 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonder-Weitzen, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3104059 | TX | Yes |
Addresses
Primary practice location
310 W South St
Henrietta, TX 76365-3346
Mailing address
1101 S Capital of Texas Hwy Ste 200
West Lake Hills, TX 78746-6445
Phone (800) 967-4667
Other practice location 1
1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211
Phone (940) 322-0771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111408402 | Medicaid | TX | |
| 3104059 | Other | TX | TX TEMP LICENSE |
| 3104059 | Other | TX | HUMANA |
Other providers in Henrietta, TX
- Bradley Neal Pettit
- Misty Rodgers
- Belinda Jo Sanchez
- T David Greer MD and Associates
- Tiffany Kay Wilson
- Geena Wyatt
All providers in Henrietta, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.