Jennifer Wlasiuk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1347217 Issued in TX

Practice address

2851 Matlock Rd Ste 600
Mansfield, TX 76063-5039

Phone

(817) 473-6246

Fax

(817) 473-2014

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vista Rehab Partners, LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1710223318
  NPD (past)
• JC Chiropractic, P.C.

  • Chiropractor
  • Chula Vista, CA
  • NPI 1083110274
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1861050551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY STE 470",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526645",
            "telephone_number": "972-262-9972",
            "fax_number": "972-262-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 MATLOCK RD STE 600",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635039",
            "telephone_number": "817-473-6246",
            "fax_number": "817-473-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Jamacha Road",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "92019",
            "country_code": "US",
            "telephone_number": "619-447-7774",
            "fax_number": "619-447-7779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Broadway",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919103502",
            "country_code": "US",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-4153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2417 Fenton St Ste A",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919143517",
            "country_code": "US",
            "telephone_number": "619-591-7000",
            "fax_number": "619-591-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WLASIUK",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "296504",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "296504",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "296504",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1347217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Wardlow Wimbrey, LPC
• Win Psychiatry
• Winners Home Health LLC (Winners Home Care Services)
• Lakeisha Winston, MS, BCBA
• Presten Earl Witherspoon, D.C.
• Mieke Deanine Woestman, FNP-C
• Sheri Marie Wolf, LCSW
• Kiara M Womack, APRN
• Women's Health of Mansfeidl
• Carol A Wood, D.O

• Physical Therapist in Mansfield, TX
• Providers in Mansfield, 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 3, 2021; 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.