Individual provider Active NPI

Vida Nwadiei, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1104658541
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1397593 Issued in TX
Practice address
2500 Fondren Rd Ste 302
Houston, TX 77063-2313
Phone
(832) 252-8055
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 1397593 TX Primary

Addresses

Primary practice location

2500 Fondren Rd Ste 302
Houston, TX 77063-2313

Mailing address

7211 Paradise Park BND
Richmond, TX 77407-3871

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626000565 TX Practitioner - Physical Therapist in Private Practice 4981116746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1397593TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Select Physical Therapy Texas Limited Partnership CurrentSince May 19, 2025 Accepting new patients

Locations

2500 Fondren Rd
Ste 115
Houston, TX 77063
Phone (832) 252-8055

2500 Fondren Rd
Ste 302
Houston, TX 77063
Phone (832) 252-8055

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1104658541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 PARADISE PARK BND",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD STE 302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632313",
            "telephone_number": "832-252-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWADIEI",
        "first_name": "VIDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1397593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.