Active NPI
Paula Webb
- Physical Therapist
- Victoria, TX
National Provider Identifier
1053745596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1104008
- Practice address
- 115 Medical Dr
Suite 104
Victoria, TX 77904-3102 - Phone
- (361) 578-7396
- Fax
- (361) 578-7719
- NPI assigned
- Sep 1, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1104008 | TX | Primary |
Addresses
Primary practice location
115 Medical Dr
Suite 104
Victoria, TX 77904-3102
Mailing address
2208 Mercury Dr
Victoria, TX 77904-2929
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1104008 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Pain & Rehabilitation Center, PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJJCCD
Organizations & group practices 1
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.
-
- Interventional Pain Medicine Physician
- Victoria, TX
- NPI 1619987021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378080000000",
"number": "1053745596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 MERCURY DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MEDICAL DR",
"address_2": "SUITE 104",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043102",
"telephone_number": "361-578-7396",
"fax_number": "361-578-7719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "PAULA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-01",
"last_updated": "2013-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1104008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.