Individual provider Active NPI

Michele Lynn Wares, P.T.

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1821175951
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1091296 Issued in TX
Practice address
7200 Wyoming SPGS
Ste 400
Round Rock, TX 78681-4303
Phone
(512) 310-7246
Fax
(512) 310-7667
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1091296 TX Primary

Addresses

Primary practice location

7200 Wyoming SPGS
Ste 400
Round Rock, TX 78681-4303

Mailing address

7200 Wyoming SPGS
Ste 400
Round Rock, TX 78681-4303
Phone (512) 310-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821175951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "STE 400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814303",
            "telephone_number": "512-310-7246",
            "fax_number": "512-310-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "STE 400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814303",
            "telephone_number": "512-310-7246",
            "fax_number": "512-310-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARES",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1091296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.