Active NPI
Kathleen Oliva, PT, DPT
- Physical Therapist
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1346018
- 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
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 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
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1346018 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Vista JV Partners LLC | Physical Therapist | Current | Accepting new patients |
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Past | 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.
-
- Multi-Specialty Clinic/Center
- Lake Worth, TX
- NPI 1326753377
Physical Therapist
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Physical Therapist
- Melissa, TX
- NPI 1770259293
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
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.