Wise Performance Physical Therapy Limited Partnership

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WISE PERFORMANCE PHYSICAL THERAPY LIMITED PARTNERSHIP

Practice address

1208 S FM 51
Suite B
Decatur, TX 76234-2408

Phone

(940) 627-7554

Fax

(940) 627-7582

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By 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

Janna King, JD

Title

VP, Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Everett Shayne Dutton, PT

  • Physical Therapist
  • Decatur, TX
  • NPI 1891755112
  NPD (past)
• William Lee Maynard Jr., PT MS

  • Physical Therapist
  • Decatur, TX
  • NPI 1780652529
  NPD (past)
• Robert Nathan Moss, PT, SCD, OCS, FAAOMP

  • Physical Therapist
  • Springtown, TX
  • NPI 1851350276
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962617662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S FM 51",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762342408",
            "telephone_number": "940-627-7554",
            "fax_number": "940-627-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PERFORMANCE PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Obstetrics & Gynecology PA
• Wise Pathology Associates P.a.
• Wise Pathology Laboratories LLC (Wise Pathology Laboratories)
• Wise Pediatrics PA
• Wise Performance Physical Therapy Limited Partnership
• Yba Consulting Inc (Medical Center Pharmacy)
• Amy Elizabeth Young, LCSW
• Nicholas Gregg Young, PT
• Henock G Zabher, M.D.
• Nicholas Robert Zelner, PTA

• Durable Medical Equipment & Medical Supplies in Decatur, TX
• Providers in Decatur, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.