Mindi Ray Carroll, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2097212 Issued in TX

Practice address

3002 Avenue Q
Hondo, TX 78861-3422

Phone

(830) 426-3056

NPI assigned

Sep 7, 2018

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mindi Ray Wells Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1033692876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780520212",
            "telephone_number": "210-844-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 AVENUE Q",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788613422",
            "telephone_number": "830-426-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 W Ih 10 Ste 800",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782304750",
            "country_code": "US",
            "telephone_number": "210-538-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MINDI",
        "middle_name": "RAY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2097212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDI",
            "last_name": "WELLS",
            "middle_name": "RAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Blaker O D P C (Hill Country Vision Center)
• Brenda Burell
• Billy Pat Butler, RPH
• Niko Ryan Caballes, PHARMD
• Cancer Care Network of South Texas PA
• Ricardo Castellanos, M.D.
• Clinical Partners Hondo
• Community EMS Inc
• Cynthia Trejo Cortinas, DNP, APRN, FNP-C
• Sarai Costa

• Physical Therapy Assistant in Hondo, TX
• Providers in Hondo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.