Individual provider Active NPI

Whitney Lee Boone

  • Physical Therapist
  • Yoakum, TX
National Provider Identifier
1053667121
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1219387 Issued in TX
Practice address
211 W May St
Yoakum, TX 77995-2637
Phone
(361) 293-1259
Fax
(866) 848-4059
NPI assigned
Jul 26, 2012
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1219387 TX Primary

Addresses

Primary practice location

211 W May St
Yoakum, TX 77995-2637

Mailing address

PO Box 248
Hallettsville, TX 77964-0248
Phone (361) 293-1259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426000362 TX Practitioner - Physical Therapist in Private Practice 3678872660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians
Complete Hometown Physical Therapy LLCGroup PAC ID 5890930853, 7 clinicians

Practice addresses (Care Compare)

105 Boehm Dr
Shiner, TX 77984-6288
Phone (361) 594-8301

203 N Main St
Hallettsville, TX 77964-2729
Phone (361) 798-3500

6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1219387TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Hometown Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients

Locations

607 S Esplanade St
Ste 4
Cuero, TX 77954
Phone (361) 418-0033

203 N Main St
Hallettsville, TX 77964
Phone (361) 798-3500

105 Boehm Dr
Shiner, TX 77984
Phone (361) 594-8301

206 US Highway 77A S
Yoakum, TX 77995
Phone (361) 407-5091

211 W May St
Yoakum, TX 77995
Phone (361) 293-1259

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1053667121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779640248",
            "telephone_number": "361-293-1259",
            "fax_number": "866-848-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAY ST",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779952637",
            "telephone_number": "361-293-1259",
            "fax_number": "866-848-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "WHITNEY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1219387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yoakum, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.