NPIMap

Organization Active NPI

J&J Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Southlake, TX
National Provider Identifier
1962929588
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
J&J PHYSICAL THERAPY AND WELLNESS
Practice address
280 Commerce St Ste 115
Southlake, TX 76092
Phone
(817) 912-1420
NPI assigned
Aug 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Jennifer Wells McCauleyNPI 1386883478
Title
President
Phone
(817) 912-1420

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

280 Commerce St Ste 115
Southlake, TX 76092

Mailing address

280 Commerce St
Southlake, TX 76092-9100
Phone (817) 912-1420

Other practice location 1

280 Commerce St Ste 115
Southlake, TX 76092
Phone (817) 912-1420

Other names 1

  • Inspire Physical Therapy and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314000161 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486994209 Receives reassigned benefits from 9 practitioners
Practice locations: Frisco, TX; Westlake, TX

National Provider Directory

National Provider Directory

Locations

5899 Preston Rd
Ste 1001
Frisco, TX 75034
Phone (817) 912-1420

280 Commerce St
Ste 115
Southlake, TX 76092
Phone (817) 657-4291

1301 Solana Blvd
Ste 4109
Westlake, TX 76262
Phone (817) 912-1420

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1962929588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 COMMERCE ST",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929100",
            "telephone_number": "817-912-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COMMERCE ST STE 115",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-912-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Commerce St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "76092",
            "country_code": "US",
            "telephone_number": "817-912-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J&J PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-912-1420"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspire Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.