Active NPI
Julie J Wyatt, PT
- Physical Therapist
- Plano, TX
National Provider Identifier
1932297041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1108983
- Practice address
- 3501 Midway Rd
Suite 198
Plano, TX 75093 - Phone
- (972) 781-2322
- Fax
- (972) 781-2373
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- 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 | 1108983 | TX | Primary |
Addresses
Primary practice location
3501 Midway Rd
Suite 198
Plano, TX 75093
Mailing address
966 N Garden Ridge
Suite 530
Lewisville, TX 75077
Phone (972) 420-6605
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108983 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1932297041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 N GARDEN RIDGE",
"address_2": "SUITE 530",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75077",
"telephone_number": "972-420-6605",
"fax_number": "972-436-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 MIDWAY RD",
"address_2": "SUITE 198",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "972-781-2322",
"fax_number": "972-781-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "JULIE",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1108983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.