MEDICARE: NEUROSKILLS INTEGRATED LEARNING AND WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	103TC1900X	Counseling Psychologist
3	133N00000X	Nutritionist
4	133V00000X	Registered Dietitian
5	224Z00000X	Occupational Therapy Assistant
6	225100000X	Physical Therapist
7	225200000X	Physical Therapy Assistant
8	225X00000X	Occupational Therapist
9	103T00000X	Psychologist

General Provider Information

NPI Number	:	1730045543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROSKILLS INTEGRATED LEARNING AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	2605 SHANE DR
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-2747
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 N WATSON RD STE 228
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-6248
Country	:	US
Telephone Number	:	682-321-7004
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	BRIAN NGWA
Credential	:	PT, DPT
Telephone Number	:	682-321-7004

Provider Enumeration Date	:	12/25/2025
Last Update Date	:	12/25/2025

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