Active NPI
Vikki Michele Molina, PT
- Physical Therapist
- Pharr, TX
National Provider Identifier
1356425714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1140945
- Practice address
- 1002 W Sam Houston
Suite 10
Pharr, TX 78577-5198 - Phone
- (956) 702-9882
- Fax
- (956) 702-9886
- NPI assigned
- Oct 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1140945 | TX | |
| Physical Therapist | 225100000X | 1140945 | TX | Primary |
Addresses
Primary practice location
1002 W Sam Houston
Suite 10
Pharr, TX 78577-5198
Mailing address
PO Box 720157
McAllen, TX 78504-0157
Phone (956) 682-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162550101 | Medicaid | TX |
Other names 1
- Mrs. Vikki Michele Farias
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 |
|---|---|---|---|
| 1140945 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Outpatient Rehabilitation Center, LLC. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Kids Korner at Renaissance
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Weslaco, TX
- NPI 1235137506
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1356425714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720157",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785040157",
"telephone_number": "956-682-6900",
"fax_number": "956-682-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 W SAM HOUSTON",
"address_2": "SUITE 10",
"city": "PHARR",
"state": "TX",
"postal_code": "785775198",
"telephone_number": "956-702-9882",
"fax_number": "956-702-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "VIKKI",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1140945",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1140945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162550101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIKKI",
"last_name": "FARIAS",
"middle_name": "MICHELE",
"prefix": "MRS.",
"credential": "LPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.