Active NPI
Patricia Ignacio
- Physical Therapist
- Coppell, TX
National Provider Identifier
1245773092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292422
- Practice address
- 8840 Cypress Waters Blvd
Coppell, TX 75019-4594 - Phone
- (800) 788-4815
- NPI assigned
- Nov 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 292422 | CA | Primary |
Addresses
Primary practice location
8840 Cypress Waters Blvd
Coppell, TX 75019-4594
Mailing address
1664 Maubert CT Apt 14
San Leandro, CA 94578-5303
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 |
|---|---|---|---|
| 292422 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1245773092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 MAUBERT CT APT 14",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945785303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 CYPRESS WATERS BLVD",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194594",
"telephone_number": "800-788-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNACIO",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-28",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.