Individual provider Active NPI

Terry Sablatura, PT

  • Physical Therapist
  • Columbus, TX
National Provider Identifier
1144359522
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1026581 Issued in TX
Practice address
109 Shult Dr
Suite 206
Columbus, TX 78934-3009
Phone
(979) 732-8280
Fax
(979) 732-9740
NPI assigned
Mar 3, 2007
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 1026581 TX Primary

Addresses

Primary practice location

109 Shult Dr
Suite 206
Columbus, TX 78934-3009

Mailing address

109 Shult Dr
Suite 206
Columbus, TX 78934-3009
Phone (979) 732-8280

Other identifiers 1

IdentifierTypeStateIssuer
1026581OtherTXTEXAS STATE LICENSE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Gates Mitchem Past Accepting new patients
SDS Physical Therapy LP Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1144359522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SHULT DR",
            "address_2": "SUITE 206",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343009",
            "telephone_number": "979-732-8280",
            "fax_number": "979-732-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SHULT DR",
            "address_2": "SUITE 206",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343009",
            "telephone_number": "979-732-8280",
            "fax_number": "979-732-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLATURA",
        "first_name": "TERRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1026581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "1026581",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.