Individual provider Active NPI

Paul A. Teixeira, P.T.

  • Specialist
  • San Luis Obispo, CA
National Provider Identifier
1124043344
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT18625 Issued in CA
Practice address
1248 Monterey St
San Luis Obispo, CA 93401-3104
Phone
(805) 541-8005
Fax
(805) 541-8010
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT18625 CA Primary

Addresses

Primary practice location

1248 Monterey St
San Luis Obispo, CA 93401-3104

Mailing address

1248 Monterey St
San Luis Obispo, CA 93401-3104
Phone (805) 541-8005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205001293 CA Practitioner - Physical Therapist in Private Practice 5496648016 Reassigns benefits to 1 organization
Practice locations: San Luis Obispo, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texs Physical Therapy a CaliforniaGroup PAC ID 3678796265, 3 clinicians

Practice addresses (Care Compare)

1248 Monterey St
San Luis Obispo, CA 93401-3104
Phone (805) 541-8005

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
81.51
Improvement activities
40
Cost
77.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18625CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Texs Physical Therapy a California CurrentSince Feb 19, 2014 Accepting new patients
Joseph Boehm, P.T. Past Accepting new patients

Locations

1248 Monterey St
Sn Luis Obisp, CA 93401
Phone (805) 541-8005

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1124043344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 MONTEREY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013104",
            "telephone_number": "805-541-8005",
            "fax_number": "805-541-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 MONTEREY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013104",
            "telephone_number": "805-541-8005",
            "fax_number": "805-541-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIXEIRA",
        "first_name": "PAUL",
        "middle_name": "A.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT18625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.