Individual provider Active NPI

Tina Jean Technik, PT

  • Physical Therapist
  • Pearland, TX
National Provider Identifier
1063698348
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1133783 Issued in TX
Practice address
11555 Magnolia Pkwy #140
Pearland, TX 77584
Phone
(281) 724-8241
Fax
(713) 343-6361
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 1133783 TX Primary

Addresses

Primary practice location

11555 Magnolia Pkwy #140
Pearland, TX 77584

Mailing address

11555 Magnolia Pkwy #140
Pearland, TX 77584
Phone (281) 724-8241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000243 TX Practitioner - Physical Therapist in Private Practice 0648309435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omkar Dave MD PLLCGroup PAC ID 6608166905, 7 clinicians

Practice addresses (Care Compare)

11555 Magnolia Pkwy
Suite 140
Pearland, TX 77584-2151
Phone (281) 724-8241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omkar Dave MD PLLC CurrentSince Jan 1, 2025 Accepting new patients
Shamrock Physical Therapy Physical Therapist Past Accepting new patients

Locations

11555 Magnolia Pkwy
Ste 140
Pearland, TX 77584
Phone (281) 724-8241

11555 Magnolia Pkwy
Ste 104
Pearland, TX 77584

Interoperability endpoints

  • Direct secure messaging: tina.technik.1@14436.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14436/brand/1/csg/1/fhir/r4

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1063698348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 MAGNOLIA PKWY #140",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "281-724-8241",
            "fax_number": "713-343-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 MAGNOLIA PKWY #140",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "281-724-8241",
            "fax_number": "713-343-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECHNIK",
        "first_name": "TINA",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1133783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.