Vanessa Leigh Servantes, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1115830 Issued in TX

Practice address

4015 Interstate 45 N
Conroe, TX 77304-4901

Phone

(936) 522-4731

Fax

(936) 522-4737

NPI assigned

Jun 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vanessa Leigh Foster Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alan C. ThorellGroup PAC ID 2264471457, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Alan C. Thorell

  • Physical Therapist
  • Montgomery, TX
  • NPI 1083761530
  Medicare reassignment Care Compare group NPD
• Sterling Ridge Orthopaedics and Sports Medicine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • The Woodlands, TX
  • NPI 1881626117
  NPD
• Sadler Clinic Association

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1114979127
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1114964079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044901",
            "telephone_number": "936-522-4731",
            "fax_number": "936-522-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044901",
            "telephone_number": "936-522-4731",
            "fax_number": "936-522-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVANTES",
        "first_name": "VANESSA",
        "middle_name": "LEIGH",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1115830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180685301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "FOSTER",
            "middle_name": "LEIGH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Selous Healthcare LLC
• Senior Caregivers Inc
• Todd Allen Senters Jr.
• Serene Mental Health PLLC
• Serenity Ranch Wellness, PLLC
• Kelsey Sexton, DC
• Thomas Evan Seymour, DO
• Layan Shabaneh, DO
• Brian James Shadrick
• Himali Shah

• Physical Therapist in Conroe, TX
• Providers in Conroe, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.