Provider Demographics
NPI:1225904790
Name:SAGE PHYSICAL THERAPY AND WELLNESS, PLLC
Entity type:Organization
Organization Name:SAGE PHYSICAL THERAPY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JALEH
Authorized Official - Last Name:MCCLELLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:832-257-5691
Mailing Address - Street 1:3816 MARYS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76116-7518
Mailing Address - Country:US
Mailing Address - Phone:817-350-6110
Mailing Address - Fax:
Practice Address - Street 1:4742 BENBROOK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76116-8892
Practice Address - Country:US
Practice Address - Phone:817-350-6110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy