Theresa Ann Mutzig-Erwin, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L7065 Issued in TX

Practice address

516 E Byron Nelson Blvd
Roanoke, TX 76262-6295

Phone

(817) 553-8458

NPI assigned

Apr 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: theresa.mutzig-erwin.1@14973.direct.athenahealth.com

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.

• Cortica ABA Therapies PA

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1942888508
  NPD (past)
• Cortica Developmental Therapies PA

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1619554680
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1497711345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E BYRON NELSON BLVD",
            "address_2": "PO BOX 1337",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-706-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E BYRON NELSON BLVD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626295",
            "telephone_number": "817-553-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTZIG-ERWIN",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L7065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Odhiambo Mitema, FNP
• Hannah Mookhoek
• Sarah Elizabeth Morgan, MPT
• Shamila Muqamudin, RN
• Mustard Seeds Therapy
• National Vision Inc
• Nexus Chiropractic LLC
• Xuan Huyen Nguyen, PHARMD
• Kristy Norris, LMFT
• Kera Northcutt, DPT, PT

• Pediatrics Physician in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Pediatrics Physician in Texas

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