Active NPI
Angie Nesrsta, PT
- Physical Medicine & Rehabilitation Physician
- Marble Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1131399
- Practice address
- 608 Gateway Central
Marble Falls, TX 78654-6354 - Phone
- (830) 428-3044
- NPI assigned
- Mar 11, 2020
- 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 Medicine & Rehabilitation Physician | 208100000X | 1131399 | TX | Primary |
Addresses
Primary practice location
608 Gateway Central
Marble Falls, TX 78654-6354
Mailing address
137 Broadmoor St
Meadowlakes, TX 78654-6622
Phone (214) 208-4750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
608 Gateway Central
Suite 100
Marble Falls, TX 78654-6355
Phone (830) 428-3044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1131399 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Pelvic Health PLLC | Single Specialty | Current | Accepting new patients |
| Amy Van Dorfy M D P a | Single Specialty | Past | Accepting new patients |
Locations
7401 W FM 2147
Ste 200
Horseshoe Bay, TX 78657
Phone (830) 428-3044
608 Gateway Central
Marble Falls, TX 78654
Phone (830) 428-3044
608 Gateway Central
Ste 100
Marble Falls, TX 78654
Phone (830) 428-3044
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1245865088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 BROADMOOR ST",
"city": "MEADOWLAKES",
"state": "TX",
"postal_code": "786546622",
"telephone_number": "214-208-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 GATEWAY CENTRAL",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786546354",
"telephone_number": "830-428-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESRSTA",
"first_name": "ANGIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "1131399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.