OrganizationActive
Northwest Physical Therapy Inc
NPI 1114507852 · Physical Therapist · Azle, TX
Provider details
- NPI number
- 1114507852
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Shane Wall, Owner(254) 592-0418
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
408 Central Dr
Azle, TX 76020-3140
Phone: (817) 444-8827
Street-level locationGet directions
Mailing address
133 Single Tree Rd
Decatur, TX 76234-1850
Registry dates
- Enumerated
- 2021-04-08
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.