Active NPI
Vidhi Ghetia, PT
- Physical Therapist
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1352527
- Practice address
- 4100 Fairway Dr Ste 400
Carrollton, TX 75010-6538 - Phone
- (972) 979-6577
- Fax
- (972) 979-6951
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2126683 | TX | |
| Physical Therapist | 225100000X | 1352527 | TX | Primary |
Addresses
Primary practice location
4100 Fairway Dr Ste 400
Carrollton, TX 75010-6538
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
1119 S Red River Expy
Burkburnett, TX 76354-3714
Phone (940) 569-9500
Other practice location 2
8585 N Stemmons Fwy Ste S-105
Dallas, TX 75247-3836
Phone (469) 502-4772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Fairway Dr
Suite 400
Carrollton, TX 75010-6538
Phone (972) 394-3325
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2126683 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Medplus Physician Group Inc. | Physical Therapist | Past | Accepting new patients |
| Vanguard Pain Management, PLLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
1267 W Exchange Pkwy
Ste 150
Allen, TX 75013
Phone (469) 342-0641
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
491 S Angel Pkwy
Ste 400
Lucas, TX 75002
Phone (972) 737-6161
3001 S Hardin Blvd
Ste 120
McKinney, TX 75070
Phone (469) 748-3055
3241 S Custer Rd
Ste 101
McKinney, TX 75070
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
3751 Main St
Ste 100
The Colony, TX 75056
Phone (469) 476-3523
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBHCCD/Endpoint/JBHCCD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1629506357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1003396722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 FAIRWAY DR STE 400",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750106538",
"telephone_number": "972-979-6577",
"fax_number": "972-979-6951"
}
],
"practiceLocations": [
{
"address_1": "1119 S Red River Expy",
"address_purpose": "LOCATION",
"city": "Burkburnett",
"state": "TX",
"postal_code": "763543714",
"country_code": "US",
"telephone_number": "940-569-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8585 N Stemmons Fwy Ste S-105",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752473836",
"country_code": "US",
"telephone_number": "469-502-4772",
"fax_number": "214-459-3709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHETIA",
"first_name": "VIDHI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2126683",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1352527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.