Richard Daniel Wymer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1030773 Issued in TX

Practice address

4455 S Padre Island Dr
Suite 8
Corpus Christi, TX 78411-5101

Phone

(361) 879-0920

Fax

(361) 879-0940

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Premier Physical Therapy, Inc.

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1003825027
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1831261106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "SUITE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-879-0920",
            "fax_number": "361-879-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "SUITE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-879-0920",
            "fax_number": "361-879-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMER",
        "first_name": "RICHARD",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1030773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108018602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1030773",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "10779438",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE PROVIDER NUMBER",
            "identifier": "659504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Ruby Wright, FNP-C
• Shelly Wright, RNFA
• Yvonne Wright
• David Felix Wu, DO
• Wymer Physical Therapy
• X-Ray on Wheels, Inc.
• X-Ray on Wheels, Inc.
• Danny X Xu, DO
• Ke Tom Xu, MD
• Narendra Yallanki, MBBS

• Physical Therapist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.