Active NPI
Sheila Wallitsch, PTA
- Physical Therapy Assistant
- Mexia, TX
National Provider Identifier
1134600687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2113600
- Practice address
- 831 Tehuacana Hwy
Mexia, TX 76667 - Phone
- (254) 562-3867
- NPI assigned
- Aug 23, 2018
- Last updated
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2113600 | TX | Primary |
Addresses
Primary practice location
831 Tehuacana Hwy
Mexia, TX 76667
Mailing address
804 Crestline Dr
Mexia, TX 76667-8006
Phone (254) 625-2680
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2113600 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1134600687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 CRESTLINE DR",
"city": "MEXIA",
"state": "TX",
"postal_code": "766678006",
"telephone_number": "254-625-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 TEHUACANA HWY",
"city": "MEXIA",
"state": "TX",
"postal_code": "76667",
"telephone_number": "254-562-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLITSCH",
"first_name": "SHEILA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2113600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mexia, TX
- Brooke Turrubiarte, LPC
- Brandi Lee Urban, M.ED., LPC
- Paola Valdez
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0248)
- Wal-Mart Stores Texas, LP (Vision Center 30-0248)
- Jason Elliot Watson, LPC
- Amos Michael Weldegebriel, R.PH.
- West Wharton County Hospital District (Avir at Sumpter)
- Savannah Wetzler, PA
- Donna Elaine Winstead
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.