Individual provider Active NPI

Estefania Sierra Reales, PT

  • Physical Therapist
  • Pflugerville, TX
National Provider Identifier
1356061303
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1363665 Issued in TX
Practice address
2512 W Pecan St Ste 100
Pflugerville, TX 78660-1033
Phone
(512) 240-2204
NPI assigned
Aug 30, 2022
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 1363665 TX Primary

Addresses

Primary practice location

2512 W Pecan St Ste 100
Pflugerville, TX 78660-1033

Mailing address

2512 W Pecan St Ste 100
Pflugerville, TX 78660-1033
Phone (512) 240-2204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018001043 TX Practitioner - Physical Therapist in Private Practice 8123494002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hybrid Physical TherapyGroup PAC ID 4183098528, 3 clinicians

Practice addresses (Care Compare)

2512 W Pecan St
Suite 100
Pflugerville, TX 78660-1033
Phone (512) 240-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1363665TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hybrid Physical Therapy Physical Therapist CurrentSince Jan 30, 2025 Accepting new patients
Right Hand Surgical Assistant, LLC PastSince Sep 1, 2022 Accepting new patients
Texas Orthopedics Surgery Center, LLC PastSince Sep 1, 2022 Accepting new patients

Locations

2512 W Pecan St
Ste 100
Pflugerville, TX 78660
Phone (512) 240-2204

Organizations & group practices 3

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1356061303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 W PECAN ST STE 100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601033",
            "telephone_number": "512-240-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 W PECAN ST STE 100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601033",
            "telephone_number": "512-240-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA REALES",
        "first_name": "ESTEFANIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1363665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.