Active NPI
Brent Lane Wells, P.T.,D.P.T., O.C.S
- Physical Therapist
- Boerne, TX
National Provider Identifier
1972543411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1125367
- Practice address
- 138 Old San Antonio Rd Ste 304
Boerne, TX 78006-3491 - Phone
- (210) 419-3144
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- 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 | 1125367 | TX | Primary |
Addresses
Primary practice location
138 Old San Antonio Rd Ste 304
Boerne, TX 78006-3491
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
34910 Ih 10 W
Suite 401
Boerne, TX 78006-9229
Phone (830) 816-2611
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T2859 | Other | TX | BCBS PROVIDER |
| 00472X | Other | TX | MEDICARE GROUP UPIN |
| 179987601 | Other | TX | MEDICAID GROUP TPI |
| 179988401 | Medicaid | TX | |
| 0084LJ | Other | TX | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041022000025 | TX | Practitioner - Physical Therapist in Private Practice | 3072574185 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.86 of 100
- Quality
- 65.93
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 71.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Neuromuscular Rehabilitation Institute | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- San Antonio, TX
- NPI 1982822060
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1972543411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 OLD SAN ANTONIO RD STE 304",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063491",
"telephone_number": "210-419-3144"
}
],
"practiceLocations": [
{
"address_1": "34910 Ih 10 W",
"address_2": "Suite 401",
"address_purpose": "LOCATION",
"city": "Boerne",
"state": "TX",
"postal_code": "780069229",
"country_code": "US",
"telephone_number": "830-816-2611",
"fax_number": "830-816-2688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "BRENT",
"middle_name": "LANE",
"name_prefix": "Mr.",
"credential": "P.T.,D.P.T., O.C.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1125367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "8T2859",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP UPIN",
"identifier": "00472X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP TPI",
"identifier": "179987601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179988401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0084LJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.