Active NPI
Nehemiah M Wesley Sr., PT
- Physical Therapist
- Tyler, TX
National Provider Identifier
1982324430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1339164
- Practice address
- 7501 Pecan Hill CV
Tyler, TX 75703-0935 - Phone
- (901) 417-3770
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- 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 | 1339164 | TX | Primary |
Addresses
Primary practice location
7501 Pecan Hill CV
Tyler, TX 75703-0935
Mailing address
7501 Pecan Hill CV
Tyler, TX 75703-0935
Phone (901) 417-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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 |
|---|---|---|---|
| 1339164 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| Buckner Retirement Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
| Functional Pathways of Tennessee LLC | Physical Therapist | Past | Accepting new patients |
Locations
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849
4011 Williams Dr
Georgetown, TX 78628
Phone (512) 868-2700
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Buckner Villa Siesta Home
- Assisted Living Facility
- Austin, TX
- NPI 1841301868
Physical Therapist
-
- Physical Therapist
- Katy, TX
- NPI 1679289888
-
- Physical Therapist
- Knoxville, TN
- NPI 1841561446
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
-
- Physical Therapist
- Knoxville, TN
- NPI 1922218122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1982324430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 PECAN HILL CV",
"city": "TYLER",
"state": "TX",
"postal_code": "757030935",
"telephone_number": "901-417-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 PECAN HILL CV",
"city": "TYLER",
"state": "TX",
"postal_code": "757030935",
"telephone_number": "901-417-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLEY",
"first_name": "NEHEMIAH",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1339164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Phoneshia Wells
- Vicky Marie Wells, MIDWIFE
- Christy Janine Welvaert, FNP-C
- Detlef Wencker, MD
- Jennifer Marie Werner, DPT
- West Vision Care
- West Wharton County Hospital District (Avir at Rose Trail)
- West Wharton County Hospital District (Avir at Azalea Heights)
- West Wharton County Hospital District (Avir at Petal Hill)
- Adrienne West
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.