Active NPI
Garret Lee Wilson, PT, DPT
- Physical Therapist
- Shenandoah, TX
National Provider Identifier
1881478980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1380849
- Practice address
- 9180 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3899 - Phone
- (713) 897-2549
- NPI assigned
- Aug 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1380849 | TX | Primary |
Addresses
Primary practice location
9180 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3899
Mailing address
8440 Creekside Green Dr Apt 5111
The Woodlands, TX 77389-5438
Phone (979) 255-0873
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380849 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1366229619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1881478980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8440 CREEKSIDE GREEN DR APT 5111",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773895438",
"telephone_number": "979-255-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR STE 200",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803899",
"telephone_number": "713-897-2549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GARRET",
"middle_name": "LEE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1380849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.