Individual provider Active NPI

Kathleen Oliva, PT, DPT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1003466681
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1346018 Issued in TX
Practice address
2200 Los Rios Blvd Ste 132
Plano, TX 75074-3478
Phone
(972) 509-5070
Fax
(972) 509-1557
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA
Physical Therapist 225100000X 1346018 TX Primary

Addresses

Primary practice location

2200 Los Rios Blvd Ste 132
Plano, TX 75074-3478

Mailing address

2200 Los Rios Blvd Ste 132
Plano, TX 75074-3478
Phone (972) 509-5070

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Other practice location 2

5255 N George Bush Hwy Ste 200
Garland, TX 75040-2779
Phone (972) 881-8887

Other names 1

  • Kathleen Hank Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617000603 TX Practitioner - Physical Therapist in Private Practice 9335470608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

2100 W White St
Suite 290
Anna, TX 75409-5180
Phone (469) 269-5732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1346018TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 11, 2021 Accepting new patients
Vista JV Partners LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist PastSince Apr 6, 2021 Accepting new patients
Vista Rehab Partners LP Physical Therapist Past Accepting new patients

Locations

2100 W White St
Ste 290
Anna, TX 75409
Phone (469) 269-5732

475 Elm St
Ste 200
Lewisville, TX 75057
Phone (945) 212-0050

6105 Windcom Ct
Ste 300
Plano, TX 75093
Phone (972) 781-1111

821 N Coleman St
Ste 160
Prosper, TX 75078
Phone (972) 347-1111

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1003466681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD STE 132",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743478",
            "telephone_number": "972-509-5070",
            "fax_number": "972-509-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD STE 132",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743478",
            "telephone_number": "972-509-5070",
            "fax_number": "972-509-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5255 N George Bush Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750402779",
            "country_code": "US",
            "telephone_number": "972-881-8887",
            "fax_number": "972-730-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "KATHLEEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1346018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HANK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.