Active NPI
Wound Care Interventions
- Neuromusculoskeletal Medicine & OMM Physician
- Fort Worth, TX
National Provider Identifier
1831970557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- Legal business name
- WOUND CARE INTERVENTIONS
- Practice address
- 777 Main St Ste 600
Fort Worth, TX 76102-5368 - Phone
- (877) 969-6493
- NPI assigned
- Oct 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci Piersanti
- Title
- Managing Director
- Phone
- (877) 969-6863
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
777 Main St Ste 600
Fort Worth, TX 76102-5368
Mailing address
3617 N Bay Breeze LN
Fort Worth, TX 76179-3824
Phone (877) 969-6863
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1831970557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 N BAY BREEZE LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761793824",
"telephone_number": "877-969-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 MAIN ST STE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761025368",
"telephone_number": "877-969-6493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND CARE INTERVENTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-09",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A",
"authorized_official_last_name": "PIERSANTI",
"authorized_official_first_name": "TRACI",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "877-969-6863"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.