Organization Active NPI

Vista Rehab Partners, LP

Doing business as Vista Physical Therapy

  • Physical Therapist
  • Anna, TX
National Provider Identifier
1033604087
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VISTA REHAB PARTNERS, LP
Doing business as
Vista Physical Therapy
Practice address
2100 W White St # 290
Anna, TX 75409-5157
Phone
(469) 269-5732
Fax
(469) 269-5733
NPI assigned
Jun 22, 2018
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VISTA REHAB PARTNERS, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Denise Koleszar
Title
Regional Operations Manager
Phone
(972) 486-3115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2100 W White St # 290
Anna, TX 75409-5157

Mailing address

5100 Eldorado Pkwy # 10220Apt
McKinney, TX 75070-6510
Phone (469) 269-5732

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherTXPHYSICAL THERAPY

Other names 1

  • Vista Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Vista Rehab Partners

Locations

8708 Medical City Way
Fort Worth, TX 76177
Phone (817) 345-0176

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1033604087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY # 10220APT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706510",
            "telephone_number": "469-269-5732",
            "fax_number": "469-269-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W WHITE ST # 290",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754095157",
            "telephone_number": "469-269-5732",
            "fax_number": "469-269-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA REHAB PARTNERS, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISTA REHAB PARTNERS, LP",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "KOLESZAR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "972-486-3115"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "00000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.