Victoria Whitham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1319506 Issued in TX

Practice address

3055 Bardin Rd
Grand Prairie, TX 75052-3816

Phone

(972) 695-8077

NPI assigned

May 29, 2019

Last updated

May 1, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista JV Partners LLCGroup PAC ID 3274998224, 126 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vista JV Partners LLC

  dba Vista Physical Therapy

  • Multi-Specialty Clinic/Center
  • Lake Worth, TX
  • NPI 1326753377

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ideal Physical Therapy of Texas LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  Medicare reassignment NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD
• Vista Rehab Partners

  dba Vista Physical Therapy Melissa

  • Physical Therapist
  • Melissa, TX
  • NPI 1225544083
  NPD
• Vista Rehab Partners LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Melissa, TX
  • NPI 1770259293
  NPD
• Vista Rehab Partners, LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1710223318
  NPD
• Vista Rehab Partners, LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Prosper, TX
  • NPI 1659716462
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1174180863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 BARDIN RD STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523819",
            "telephone_number": "972-522-2200",
            "fax_number": "972-499-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 BARDIN RD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523816",
            "telephone_number": "972-695-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITHAM",
        "first_name": "VICTORIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1319506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H. Roger White, M.ED., M.A.
• Nykesha White, LPC
• Shontell Anita White, AGPCNP
• Shari J Whitehead, RN, IBCLC
• Dai'Kevia Shanpelle Whitfield, LPC
• Ralph Thane Wiegman, MD
• Carlos Guillermo Wiesse, D.D.S.
• Brooke Wiggins
• Brianna Cheyenne Wilcox-Curley
• Shelly Rose Wilkes, LPN

• Physical Therapist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.