Individual provider Active NPI

Haidee Chapa, PTA

  • Physical Therapy Assistant
  • Portland, TX
National Provider Identifier
1063123172
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2156113 Issued in TX
Practice address
114 Lang Rd
Portland, TX 78374-2654
Phone
(361) 643-8243
NPI assigned
Dec 9, 2022
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 2156113 TX Primary

Addresses

Primary practice location

114 Lang Rd
Portland, TX 78374-2654

Mailing address

5026 Deepwood Cir
Corpus Christi, TX 78415-2901
Phone (361) 854-2278

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
2156113TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Humpal Physical Therapy, P.C. CurrentSince Dec 13, 2022 Accepting new patients

Locations

5026 Deepwood Cir
Corpus Christi, TX 78415
Phone (361) 334-2317

114 Lang Rd
Portland, TX 78374
Phone (361) 643-8243

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, 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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1063123172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 DEEPWOOD CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152901",
            "telephone_number": "361-854-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LANG RD",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742654",
            "telephone_number": "361-643-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPA",
        "first_name": "HAIDEE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2156113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.