Individual provider Active NPI

Namrata P Mehta, PT

  • Physical Therapist
  • College Station, TX
National Provider Identifier
1215691068
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1345114 Issued in TX
Practice address
2305 Longmire Dr
College Station, TX 77845-7033
Phone
(201) 547-0152
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 1345114 TX Primary

Addresses

Primary practice location

2305 Longmire Dr
College Station, TX 77845-7033

Mailing address

3645 Wellborn Rd Apt 1421a
Bryan, TX 77801-3549
Phone (201) 547-0152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003272 TX Practitioner - Physical Therapist in Private Practice 9436599867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services TX LLCGroup PAC ID 7113330879, 122 clinicians

Practice addresses (Care Compare)

11500 Fallbrook Dr
Houston, TX 77065-4280
Phone (877) 407-3422

13001 Hillcrest Rd
Dallas, TX 75240-5402
Phone (877) 407-3422

4101 W Arkansas LN
Arlington, TX 76016-1496
Phone (877) 407-3422

650 S Greenville Ave
Allen, TX 75002-3037
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1345114TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harone, PA CurrentSince Apr 23, 2024 Accepting new patients
Fox Rehabilitation Services TX LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients

Locations

4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671

13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267

24217 Kingsland Blvd
Katy, TX 77494
Phone (281) 644-2010

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1215691068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 WELLBORN RD APT 1421A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013549",
            "telephone_number": "201-547-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 LONGMIRE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457033",
            "telephone_number": "201-547-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NAMRATA",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1345114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.