# ADVANCED WELLNESS AND REHAB CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295841070
- **Authorized official:** MISS CORINNA CARLA JUMAO-AS OT (OFFICE MANAGER)
- **Authorized official phone:** (972) 392-7008

## Contact information

- **Practice address:** 6029 BELT LINE RD STE 100, DALLAS, TX 75254-9137
- **Practice address phone:** (972) 392-7008
- **Practice address fax:** (972) 392-1171
- **Mailing address:** 6029 BELT LINE RD STE 100, DALLAS, TX 75254-9137
- **Mailing address phone:** (972) 392-7008
- **Mailing address fax:** (972) 392-1171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC4635 | TX | — |
| 171100000X | Acupuncturist | DC4635 | TX | — |
| 225100000X | Physical Therapist | DC4635 | TX | — |
| 225X00000X | Occupational Therapist | 111489 | TX | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0034KD | BLUE CROSS BLUE SHIELD GR | TX |
| 01 | — | 8J3270 | BLUE CROSS BLUE SHIELD | TX |
| 01 | — | 8T4335 | BLUECROSS BLUE SHIELD | TX |