NORTHWEST PHYSICAL THERAPY INC
NPI 1114507852
Physical Therapist in Azle, TX

Active since April 08, 2021
408 CENTRAL DR, AZLE, TX 76020(817) 444-8827 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northwest Physical Therapy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST PHYSICAL THERAPY INC (NPI 1114507852) is a healthcare organization registered as a physical therapist in Azle, Texas and active in the NPI registry since April 2021. The organization lists Shane B Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1114507852
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameNORTHWEST PHYSICAL THERAPY INC
Location Address408 CENTRAL DRAzle, TX 76020-3140
Mailing Address133 Single Tree RdDecatur, TX 76234-1850 · (254) 592-0418
Organization SubpartNo
Authorized OfficialShane B WallOwner · (254) 592-0418
Enumeration DateApril 8, 2021
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1114507852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
408 CENTRAL DR, Azle, TX 76020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20211222001784Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northwest Physical Therapy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1992287619
400 S HOUSTON ST
De Leon, TX 76444
(254) 893-2015
✔ Accepts Medicare79 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Physical Therapy Inc's NPI number?

The NPI number for Northwest Physical Therapy Inc is 1114507852. It was assigned to this organization in the NPPES registry on April 8, 2021.

Where is Northwest Physical Therapy Inc located?

Northwest Physical Therapy Inc is located at 408 Central Dr, Azle, TX 76020. The listed phone number is (817) 444-8827.

What is Northwest Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Northwest Physical Therapy Inc enrolled in Medicare?

Yes. Northwest Physical Therapy Inc is registered in the Medicare PECOS enrollment system.

When is Northwest Physical Therapy Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northwest Physical Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Northwest Physical Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Physical Therapy Inc accept?

Health plans from Molina Healthcare list Northwest Physical Therapy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Physical Therapy Inc was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.