Sidney Camille Parker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1357117 Issued in TX

Practice address

2269 Northwest Loop
Stephenville, TX 76401-1701

Phone

(254) 965-2040

Fax

(254) 965-7394

NPI assigned

Feb 8, 2022

Last updated

Feb 8, 2022By 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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cole Physical Therapy IncGroup PAC ID 4183670441, 16 clinicians

DPT Physical Therapy and PerformanceGroup PAC ID 8729466552, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cole Physical Therapy Inc

  dba Sports Medicine & Physical Therapy

  • Physical Therapy Clinic/Center
  • Fredericksburg, TX
  • NPI 1255342093

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• DPT Physical Therapy & Performance

  • Physical Therapist
  • Stephenville, TX
  • NPI 1013662956
  Medicare reassignment Care Compare group NPD
• St Davids Heart & Vascular, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1700887700
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1174277255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 NORTHWEST LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011701",
            "telephone_number": "254-965-2040",
            "fax_number": "254-965-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 NORTHWEST LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011701",
            "telephone_number": "254-965-2040",
            "fax_number": "254-965-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SIDNEY",
        "middle_name": "CAMILLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1357117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onyx Therapeutic Counseling, PLLC
• Makayla Sue Osborne
• Heather Lynn Osman, L.P.C.
• Mary Frances Pack, RNFA
• Kathy Park, SLP
• Ian Lewis Patterson, MPAS, PA-C
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region

• Physical Therapist in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.