SOFIA WILTENS LPT (NPI# 1235352436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235352436 |
| Entity Type | Organization |
| Organization Name | SOFIA WILTENS LPT |
| Other Organization Name | VERSATILE PHYSICAL THERAPY AND FITNESS CENTER |
| Practice Address |
1221 W Ben White Blvd 211a Austin TX 78704-6888 |
| Practice Telephone | 5127078392 |
| Practice Fax Number | 5127072841 |
| Mailing Telephone | 5127078392 |
| Mailing Fax Number | 5127072841 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | MRS. SOFIA S. WILTENS SR. (DIRECTOR/LPT) |
| Authorized Official Telephone | 5127078392 |
| Authorized Official Credential | LPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1062495 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS GROUP NUMBER | 0009JZ | 01 |
| Other Name | Type Code |
|---|---|
| VERSATILE PHYSICAL THERAPY AND FITNESS CENTER | Doing Business As Name - Organization |
| Street Address |
1221 W BEN WHITE BLVD 211A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-6888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669447397 | Ashwin Gowda | Internal Medicine | 1221 W Ben White Blvd, Suite A-100, Austin, TX 78704-7192 | 2006-02-17 |
| 1871132118 | Transitions Neuropsychology of Austin | Psychologist | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2020-01-03 |
| 1447716246 | Mallie Danielle Underwood | Social Worker | 1221 W Ben White Blvd, Ste 210a, Austin, TX 78704-7182 | 2019-02-17 |
| 1902317167 | Nicole Elizabeth Anderson | Nurse Practitioner | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2017-10-16 |
| 1508223637 | Vital Chiropractic & Wellness Pllc | Chiropractor | 1221 W Ben White Blvd, Ste. 111a, Austin, TX 78704-7192 | 2016-01-20 |
| 1053794750 | Riddhi Jariwala | Physical Therapist | 1221 W Ben White Blvd, 211a, Austin, TX 78704-7192 | 2015-06-30 |
| 1124421706 | Eva Shaw | Social Worker | 1221 W Ben White Blvd, Suite B100/b200, Austin, TX 78704-7192 | 2014-09-26 |
| 1497160071 | Lorena Ray | Dentist | 1221 W Ben White Blvd, Suite 112b, Austin, TX 78704-7192 | 2014-06-23 |
| 1225463458 | Matthew Gene Maa | Nurse Practitioner | 1221 W Ben White Blvd, Suite B300, Austin, TX 78704-7192 | 2013-09-06 |
| 1205132115 | Sharasa Matthews | Counselor | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2011-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633518 | At Home Telehealth Pt, Pllc | Clinic/Center | 12815 Woodmere St, Austin, TX 78729-4555 | 2020-06-10 |
| 1508407974 | Valerie Benjamin | Clinic/Center | 5401 La Crosse Ave Bldg C101, Austin, TX 78739-2159 | 2019-10-07 |
| 1326527458 | Resilientrx | Clinic/Center | 4820 Twin Valley Dr, Austin, TX 78731-3539 | 2018-08-09 |
| 1568953230 | Resolution Manual Therapy, Pllc | Clinic/Center | 8901 Ravello Pass, Austin, TX 78749-4959 | 2018-05-29 |
| 1639604218 | Natural Fit Therapy Pllc | Clinic/Center | 13740 Research Blvd Ste V3, Austin, TX 78750-1841 | 2017-04-20 |
| 1417488875 | Agilitas Usa, Inc | Clinic/Center | 1600 W 38th St Ste 132, Austin, TX 78731-6404 | 2017-03-27 |
| 1255874871 | Retrofit Performance Training LLC | Clinic/Center | 720 Airport Blvd, Trlr 71, Austin, TX 78702-4107 | 2016-11-30 |
| 1437607884 | Agilitas Usa Inc. | Clinic/Center | 500 Canyon Ridge Dr Ste B150, Austin, TX 78753-1689 | 2016-09-14 |
| 1962877043 | Cancer Rehab Austin | Clinic/Center | 1517 W Koenig Ln Bldg A, Austin, TX 78756-1415 | 2015-12-01 |
| 1346647351 | Shannon Louise Russell | Clinic/Center | 12611 Hymeadow Dr., Austin, TX 78729 | 2014-11-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.