Individual provider Active NPI

Patrick Burke Wilson, PT, DPT, CSCS

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1902145279
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1226660 Issued in TX
Practice address
1324 Common St
Suite 307
New Braunfels, TX 78130-3565
Phone
(830) 625-7310
Fax
(830) 625-3228
NPI assigned
Feb 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1226660 TX Primary

Addresses

Primary practice location

1324 Common St
Suite 307
New Braunfels, TX 78130-3565

Mailing address

1324 Common St
Suite 307
New Braunfels, TX 78130-3565
Phone (830) 625-7310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
89.74
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists, Inc. Physical Therapist Past Accepting new patients
Action Therapy Centers Limited Past Accepting new patients
Action Therapy Centers Limited Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrick.wilson.1@19133.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1902145279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 COMMON ST",
            "address_2": "SUITE 307",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303565",
            "telephone_number": "830-625-7310",
            "fax_number": "830-625-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 COMMON ST",
            "address_2": "SUITE 307",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303565",
            "telephone_number": "830-625-7310",
            "fax_number": "830-625-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PATRICK",
        "middle_name": "BURKE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1226660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.