Active NPI
Santhamma Nair
- Physical Therapy Assistant
- Mesquite, TX
National Provider Identifier
1174093900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2051226
- Practice address
- 1000 Wiggins Pkwy
Mesquite, TX 75150-7465 - Phone
- (972) 686-2410
- Fax
- (866) 809-3606
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 2051226 | TX | Primary |
Addresses
Primary practice location
1000 Wiggins Pkwy
Mesquite, TX 75150-7465
Mailing address
306 Old Mill Rd
Sunnyvale, TX 75182-2633
Phone (214) 213-2797
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 |
|---|---|---|---|
| 2051226 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1174093900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 OLD MILL RD",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751822633",
"telephone_number": "214-213-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WIGGINS PKWY",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751507465",
"telephone_number": "972-686-2410",
"fax_number": "866-809-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "SANTHAMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2051226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.