XTREME MEDICAL REHAB


Address: 1710 Rufe Snow Dr, 120, Keller, TX 76248-5745
Phone: 8176561615

XTREME MEDICAL REHAB (NPI# 1043755457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043755457
Entity Type Organization
Organization Name XTREME MEDICAL REHAB
Other Organization Name DFW MEDICAL PAIN & REHAB
Practice Address 1710 Rufe Snow Dr
120
Keller
TX 76248-5745
Practice Telephone 8176561615
Practice Fax Number 8174280573
Mailing Telephone 8176561615
Mailing Fax Number 8174280573
Enumeration Date 2016-12-21
Last Update Date 2016-12-21
Authorized Official Name DR. JASON WANDER (PRESIDENT)
Authorized Official Telephone 8176561615
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine N6762 TX Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
N6762 TX Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
DFW Medical Pain & Rehab Doing Business As Name - Organization

Office Location

Street Address 1710 RUFE SNOW DR
120
City KELLER
State TX
Zip Code 76248-5745

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316556145 Tyler Woodall Counselor 1668 Keller Parkway, Suite 200, Keller, TX 76248 2020-07-28
1396366456 Kelcie Dao Speech-Language Pathologist 630 B Stoneglen Drive, Keller, TX 76248 2020-04-29
1003447384 Alliance Orthotics and Prosthetics, L.L.C. Prosthetic/Orthotic Supplier 101 Bourland Rd Suite A, Keller, TX 76248 2020-01-27
1033759832 Everest Rehabilitation Hospital Keller, LLC Rehabilitation Hospital 955 S. Main St., Keller, TX 76248 2020-01-09
1750934253 Pediatric Dentistry of Keller Pllc Dentist 1627 Keller Parkway, Suite 100, Keller, TX 76248 2019-07-23
1306345293 Jaqui Otto Psychologist 1664 Keller Parkway Ste 102, Keller, TX 76248 2018-02-06
1194223404 Hartman Samuel Ian Watson Chiropractor 1211 S Main St Ste 300h, Keller, TX 76248 2018-02-01
1760900997 Md First Watch Healthcare Pllc Clinic/Center 310 Keller Parkway, Keller, TX 76248 2017-09-08
1588104541 Elias Alharari Nurse Practitioner 651 S Main St Ste 102, Keller, TX 76248 2017-02-24
1730631698 Alliance Counseling and Education Center Social Worker 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 2016-10-26
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245263185 Anna G White Family Medicine 720 S Main St, Keller, TX 76248-4936 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922755 David Conrad Ortmeier Family Medicine 4900 Wichita Trl, Flower Mound, TX 75022-5628 2020-11-02
1639704042 Tahnee Rae Beal Family Medicine 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 2020-03-05
1760027643 Mark Garza, M.d., Pllc Family Medicine 131 S Westmeadow Dr, Cleburne, TX 76033-4586 2019-11-14
1528603495 Mark Garza, M.d., Pllc Family Medicine 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 2019-11-14
1265092043 Texas Federal Wellness Center of Mcallen Pllc Family Medicine 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 2019-06-14
1235792524 Celina Family Practice Pllc Family Medicine 701 N Preston Rd Ste 200, Celina, TX 75009-3777 2019-04-22
1164902409 Dna Medical Family Medicine 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 2018-08-16
1861992695 Taylor Henry Family Medicine 739 Tanglewood Drive, Burleson, TX 76028 2018-02-19
1063910842 Running Wild Sea, LLC Family Medicine 8557 Research Blvd Ste 128, Austin, TX 78758-7855 2018-01-26
1134633050 The University of Texas Rio Grande Valley Family Medicine 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 2017-11-30
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City KELLER
Zip Code 76248

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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