Sofia Wiltens LPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1062495 Issued in TX

Legal business name

SOFIA WILTENS LPT

Doing business as

Versatile Physical Therapy and Fitness Center

Practice address

1221 W Ben White Blvd
211A
Austin, TX 78704-6888

Phone

(512) 707-8392

Fax

(512) 707-2841

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sofia S. Wiltens Sr., LPT

Title

Director/LPT

Phone

(512) 707-8392

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VERSATILE PHYSICAL THERAPY AND FITNESS CENTER Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charese Rene Lande, PHYSICAL THERAPIST

  • Physical Therapist
  • Austin, TX
  • NPI 1063676922
  NPD (past)
• Riddhi Rashmikant Ghevariya, P.T.

  • Physical Therapist
  • Johns Creek, GA
  • NPI 1053794750
  NPD (past)
• Prasad Pothini, PT

  • Physical Therapist
  • Powell, OH
  • NPI 1174719165
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1235352436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD",
            "address_2": "211A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "512-707-8392",
            "fax_number": "512-707-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD",
            "address_2": "211A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "512-707-8392",
            "fax_number": "512-707-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFIA WILTENS LPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "WILTENS",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR/LPT",
        "authorized_official_telephone_number": "512-707-8392",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1062495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0009JZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERSATILE PHYSICAL THERAPY AND FITNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soco Psychotherapy, Inc
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• Toshiki Soejima, DMD
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• Soh of Texas Samson Liu PLLC (The Cosmetic Dentist of Austin)
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• Soh of Texas Specialty Services PLLC (The Dentists of Barton Creek Ortho)
• Soh of Texas, Samson Liu PLLC (The Dentists of Barton Creek)

• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.