Wellness Matters Two

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11302501 Issued in TX

Legal business name

WELLNESS MATTERS TWO

Practice address

4105 Medical Pkwy
Suite 100
Austin, TX 78756-3725

Phone

(512) 458-6386

Fax

(512) 458-6388

NPI assigned

Oct 30, 2008

Last updated

Oct 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cullen F Tennison, MSPTNPI 1720091952

Title

Partner

Phone

(512) 458-6386

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Cullen F. Tennison, PT

  • Physical Therapist
  • Austin, TX
  • NPI 1720091952
  Authorized official Same address or phone

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1902059298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 NORTHLAND DR",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314961",
            "telephone_number": "512-275-0282",
            "fax_number": "512-275-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 MEDICAL PKWY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563725",
            "telephone_number": "512-458-6386",
            "fax_number": "512-458-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MATTERS TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "TENNISON",
        "authorized_official_first_name": "CULLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "512-458-6386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "11302501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.