NPIMap

Individual provider Active NPI

Nita Pancholi, PTA

  • Physical Therapy Assistant
  • Baytown, TX
National Provider Identifier
1043686470
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2115286 Issued in TX
Practice address
910 N Highway 146
Suite a
Baytown, TX 77520-2252
Phone
(281) 837-7571
Fax
(281) 664-3769
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2115286 TX Primary

Addresses

Primary practice location

910 N Highway 146
Suite a
Baytown, TX 77520-2252

Mailing address

910 N Highway 146
Suite a
Baytown, TX 77520-2252
Phone (281) 837-7571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2115286TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Rio Physical Therapy LLC Current Accepting new patients
Qa Home Health Services, Inc. Current Accepting new patients

Locations

910 N Highway 146
Ste A
Baytown, TX 77520
Phone (281) 837-7571

Organizations & group practices 2

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1043686470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N HIGHWAY 146",
            "address_2": "SUITE A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202252",
            "telephone_number": "281-837-7571",
            "fax_number": "281-664-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N HIGHWAY 146",
            "address_2": "SUITE A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202252",
            "telephone_number": "281-837-7571",
            "fax_number": "281-664-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHOLI",
        "first_name": "NITA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2115286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.