Organization Active NPI

Spine Health and Wellness, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Irving, TX
National Provider Identifier
1891357026
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SPINE HEALTH AND WELLNESS, PLLC
Practice address
600 E John Carpenter Fwy Ste 125
Irving, TX 75062-4299
Phone
(972) 556-5667
Fax
(972) 635-4430
NPI assigned
Jul 9, 2019
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Gregory StoweNPI 1932498151
Title
Authorized Official
Phone
(214) 498-4866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

600 E John Carpenter Fwy Ste 125
Irving, TX 75062-4299

Mailing address

600 E John Carpenter Fwy Ste 125
Irving, TX 75062-4299
Phone (972) 556-5667

Other practice location 1

1903 Central Dr Ste 304
Bedford, TX 76021-5813
Phone (972) 556-5667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drstowe@spinehealthandwellness.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106003011 TX Part B Supplier - Clinic/Group Practice 4183058886 Receives reassigned benefits from 6 practitioners
Practice locations: Bedford, TX; Irving, TX; Grapevine, TX; Fort Worth, TX; Arlington, TX

National Provider Directory

National Provider Directory

Locations

1601 E Lamar Blvd
Ste 100
Arlington, TX 76011
Phone (817) 801-5111

1903 Central Dr
Ste 209
Bedford, TX 76021
Phone (817) 380-8452

1903 Central Dr
Ste 304
Bedford, TX 76021
Phone (972) 556-5667

1323 W Northwest Hwy
Ste 300
Grapevine, TX 76051
Phone (817) 251-0550

600 E John Carpenter Fwy
Ste 125
Irving, TX 75062
Phone (972) 556-5667

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1891357026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E JOHN CARPENTER FWY STE 125",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624299",
            "telephone_number": "972-556-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E JOHN CARPENTER FWY STE 125",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624299",
            "telephone_number": "972-556-5667",
            "fax_number": "972-635-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 Central Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760215813",
            "country_code": "US",
            "telephone_number": "972-556-5667",
            "fax_number": "972-635-4430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "STOWE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-498-4866"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drstowe@spinehealthandwellness.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 E John Carpenter Fwy Ste 354",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750624320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.