P Praxis·MD
● Active Type 1 · Individual

DR. Jesse Wade McIntyre, DAT, LAT, ATC, CSCS

Specialist/Technologist·San Angelo, TX· NPI 1477063725 · Enumerated 2017 · 8 years on NPI
McIntyre is 1 of 35 specialist/technologist providers in San Angelo and 1 of 2956 in Texas.
NPI age
8 years
Enumerated 2017-10-01
Primary specialty
Specialist/Technologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2956 active specialist/technologist providers in Texas.

NPI age
8 years
≈ at median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-10Enumerated in NPPES
2017 2026

Where they practice

Practice location
210 La Salle Dr
San Angelo, TX 769037916
📞 4056142024
Mailing address
210 La Salle Dr
San Angelo, TX 769037916
📞 4056142024

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    TX license #AT7626 taxonomy 2255A2300X

Identifiers

TypeValueNotes
01 (TX) AT7626 TDLR

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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