OrganizationActive
Xtreme Medical Rehab
NPI 1043755457 · Sports Medicine (Family Medicine) Physician · Keller, TX
Provider details
- NPI number
- 1043755457
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Wander, President(817) 656-1615
- License
- N6762 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1710 Rufe Snow Dr
120
Keller, TX 76248-5745
Phone: (817) 656-1615
Fax: (817) 428-0573
Street-level locationGet directions
Mailing address
1710 Rufe Snow Dr
Keller, TX 76248-5745
Other names (DBA / former)
- Doing business as
- Dfw Medical Pain & Rehab
Registry dates
- Enumerated
- 2016-12-21
- Last updated
- 2016-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.