Individual provider Active NPI

Laura Elizabeth Picha, PT, DPT

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1417276148
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1194043 Issued in TX
Practice address
4040 Five Points Rd
Corpus Christi, TX 78410-4538
Phone
(361) 241-7399
Fax
(361) 241-7464
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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 1194043 TX Primary

Addresses

Primary practice location

4040 Five Points Rd
Corpus Christi, TX 78410-4538

Mailing address

5026 Deepwood Cir
Corpus Christi, TX 78415-2901
Phone (361) 241-7399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000876 TX Practitioner - Physical Therapist in Private Practice 2062690761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humpal Physical Therapy, P.C.Group PAC ID 5597656751, 18 clinicians

Practice addresses (Care Compare)

1302 E 5TH St
Alice, TX 78332-3944
Phone (361) 664-9675

5026 Deepwood Cir
Corpus Christi, TX 78415-2901
Phone 3618542278105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Humpal Physical Therapy, P.C. Physical Therapist CurrentSince May 17, 2014 Accepting new patients

Locations

1302 E 5th St
Alice, TX 78332
Phone (361) 664-9675

2150 W Wheeler Ave
Aransas Pass, TX 78336
Phone (361) 664-9675

5026 Deepwood Cir
Corpus Christi, TX 78415
Phone (361) 334-2317

4040 Five Points Rd
Corpus Christi, TX 78410
Phone (361) 241-7399

114 Lang Rd
Portland, TX 78374
Phone (361) 643-8243

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1417276148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 DEEPWOOD CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152901",
            "telephone_number": "361-241-7399",
            "fax_number": "361-241-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 FIVE POINTS RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104538",
            "telephone_number": "361-241-7399",
            "fax_number": "361-241-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHA",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1194043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.