Individual provider Active NPI

Vidhi Ghetia, PT

  • Physical Therapist
  • Carrollton, TX
National Provider Identifier
1003396722
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1352527 Issued in TX
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

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230912001697 TX Practitioner - Physical Therapist in Private Practice 5991169740 Reassigns benefits to 1 organization

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
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

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 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2126683TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Aug 28, 2023 Accepting new patients
Medplus Physician Group Inc. Physical Therapist Past Accepting new patients
Vanguard Pain Management, PLLC PastSince Nov 9, 2025 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.