Stephanie Gavina, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4062991 Issued in TX

Practice address

4409 W Wadley Ave
Midland, TX 79707-5328

Phone

(432) 617-3110

NPI assigned

May 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1376383000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HANOVER DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612239",
            "telephone_number": "432-550-4700",
            "fax_number": "432-550-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075328",
            "telephone_number": "432-617-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Hanover Dr",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797612239",
            "country_code": "US",
            "telephone_number": "432-550-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1365 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797647121",
            "country_code": "US",
            "telephone_number": "432-580-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVINA",
        "first_name": "STEPHANIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "4062991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Louise Garnsey, FNP-C
• Amber N Gartman, B.S.,LCDC
• Anthony Galateo Garza, LPC
• Jamie Elizabeth Garza, APRN, CNM
• Sebastian Garza, DC
• GB Medical Group PLLC
• Daniel Mekonnen Gellan, MD
• Addis Belete Getahun, MD
• Scott Gibbens
• Gibson Apothecary, LLC

• Physical Therapy Assistant in Midland, TX
• Providers in Midland, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.