WAY OUT WEST SPINE AND MOBILITY PLLC
NPI 1942769476
Anesthesiology - Pain Medicine in Fort Worth, TX

Active since March 14, 2019
120 SAINT LOUIS AVE STE 100, FORT WORTH, TX 76104(682) 285-1044(855) 361-0894 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 26, 2022, Mar 20, 2019, Mar 14, 2019 (3 updates tracked since 2019).

About Way Out West Spine And Mobility Pllc NPPES

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

WAY OUT WEST SPINE AND MOBILITY PLLC (NPI 1942769476) is a healthcare organization registered as a pain medicine in Fort Worth, Texas and active in the NPI registry since March 2019. The organization lists Mike Martinez, Lead Physician, as its authorized official.

NPPES Registry Identity

NPI1942769476
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameWAY OUT WEST SPINE AND MOBILITY PLLC
Location Address120 SAINT LOUIS AVE STE 100Fort Worth, TX 76104-1256
Mailing Address120 Saint Louis Ave Ste 100Fort Worth, TX 76104-1256 · (682) 285-1044 · Fax (855) 361-0894
Fax(855) 361-0894
Organization SubpartNo
Authorized OfficialMike MartinezLead Physician · (682) 285-1044
Enumeration DateMarch 14, 2019
Last NPPES UpdateJuly 26, 20223 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1942769476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
120 SAINT LOUIS AVE STE 100, Fort Worth, TX 76104

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Way Out West Spine And Mobility Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Way Out West Spine And Mobility PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pain Management
NPI 1043534662
120 SAINT LOUIS AVE STE 100
Fort Worth, TX 76104
(682) 285-1044
✔ PECOS✔ Accepts Medicare0.2 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 Way Out West Spine And Mobility PLLC's NPI number?

The NPI number for Way Out West Spine And Mobility PLLC is 1942769476. It was assigned to this organization in the NPPES registry on March 14, 2019.

Where is Way Out West Spine And Mobility PLLC located?

Way Out West Spine And Mobility PLLC is located at 120 Saint Louis Ave Ste 100, Fort Worth, TX 76104. The listed phone number is (682) 285-1044.

What is Way Out West Spine And Mobility PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Way Out West Spine And Mobility PLLC enrolled in Medicare?

Yes. Way Out West Spine And Mobility PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Way Out West Spine And Mobility PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Way Out West Spine And Mobility PLLC. 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.

When was this NPI record last updated?

The NPPES record for Way Out West Spine And Mobility PLLC was last updated on July 26, 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.