Individual provider Active NPI

Teresa M Poindexter, PHYSICAL THERAPIST

  • Physical Therapist
  • Georgetown, TX
National Provider Identifier
1437107760
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1220578 Issued in TX
Practice address
2913 Williams Dr Ste 210
Georgetown, TX 78628-2739
Phone
(512) 887-4544
Fax
(512) 887-4542
NPI assigned
May 5, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3940 AZ
Physical Therapist 225100000X 1220578 TX Primary

Addresses

Primary practice location

2913 Williams Dr Ste 210
Georgetown, TX 78628-2739

Mailing address

2913 Williams Dr Ste 210
Georgetown, TX 78628-2739
Phone (512) 887-4544

Other practice location 1

411 W Road 1 N
Suite a
Chino Valley, AZ 86323-5943
Phone (928) 636-8521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150210000698 TX Practitioner - Physical Therapist in Private Practice 0840284220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
89.74
Improvement activities
40
Cost
61.81

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3940AZMDPhysical Therapist
1220578TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 8, 2023 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 8, 2023 Accepting new patients
Advanced Care Physical Therapy PLLC PastSince Sep 27, 2004 Accepting new patients

Locations

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

3415 Williams Dr
Ste 145
Georgetown, TX 78628
Phone (512) 887-4544

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 7

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437107760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 WILLIAMS DR STE 210",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282739",
            "telephone_number": "512-887-4544",
            "fax_number": "512-887-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 WILLIAMS DR STE 210",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282739",
            "telephone_number": "512-887-4544",
            "fax_number": "512-887-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W Road 1 N",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "Chino Valley",
            "state": "AZ",
            "postal_code": "863235943",
            "country_code": "US",
            "telephone_number": "928-636-8521",
            "fax_number": "928-636-8591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POINDEXTER",
        "first_name": "TERESA",
        "middle_name": "M",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3940",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1220578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.