Individual provider Active NPI

Regine Panelo, PTA, CDP

  • Physical Therapy Assistant
  • Texas City, TX
National Provider Identifier
1326520834
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2132775 Issued in TX
Practice address
1720 N Logan St
Texas City, TX 77590-4931
Phone
(409) 943-4914
NPI assigned
Aug 30, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2132775 TX Primary

Addresses

Primary practice location

1720 N Logan St
Texas City, TX 77590-4931

Mailing address

4811 E Sam Houston Pkwy S Apt 1321
Pasadena, TX 77505-3978
Phone (409) 960-9617

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

LicenseStateTypeSpecialty
2132775TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1326520834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 E SAM HOUSTON PKWY S APT 1321",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053978",
            "telephone_number": "409-960-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N LOGAN ST",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775904931",
            "telephone_number": "409-943-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANELO",
        "first_name": "REGINE",
        "credential": "PTA, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2132775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.