Marie R Gilada, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1293577 Issued in TX

Practice address

11481 Toepperwein Rd Ste 1201
Live Oak, TX 78233-3146

Phone

(210) 599-8903

Fax

(210) 599-9035

NPI assigned

Dec 1, 2017

Last updated

Dec 1, 2017By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1477067270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 TOEPPERWEIN RD STE 1201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333146",
            "telephone_number": "210-599-8903",
            "fax_number": "210-599-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 TOEPPERWEIN RD STE 1201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333146",
            "telephone_number": "210-599-8903",
            "fax_number": "210-599-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILADA",
        "first_name": "MARIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1293577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.