Natalie Eteaki, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2123953 Issued in TX

Practice address

2600 Parkview LN
Bedford, TX 76022-7989

Phone

(817) 354-6556

NPI assigned

May 7, 2020

Last updated

May 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1386266716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 GREENDALE CT",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227791",
            "telephone_number": "817-690-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PARKVIEW LN",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227989",
            "telephone_number": "817-354-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEAKI",
        "first_name": "NATALIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2123953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://parkwoodretirementlcs.com/?gclid=EAIaIQobChMIwI3F-vai6QIVuymzAB0XhACMEAAYASAAEgLzyPD_BwE",
            "affiliation": "N",
            "address_1": "2600 Parkview Ln",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760227989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.