Individual provider Active NPI

Gabriella Anne Segovia, PT, DPT

  • Physical Therapist
  • West Lake Hills, TX
National Provider Identifier
1508680224
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1400230 Issued in TX
Practice address
5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552
Phone
(512) 284-8964
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 1400230 TX Primary

Addresses

Primary practice location

5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552

Mailing address

151 Desert Quail LN
Buda, TX 78610-5839
Phone (512) 944-3595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1400230TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mlee-SLP, LLC CurrentSince Nov 17, 2024 Accepting new patients
Mlee SLP LLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

5000 Bee Caves Rd
Ste 206
West Lake Hills, TX 78746
Phone (512) 284-8964

Organizations & group practices 2

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1508680224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 DESERT QUAIL LN",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786105839",
            "telephone_number": "512-944-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465552",
            "telephone_number": "512-284-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVIA",
        "first_name": "GABRIELLA",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1400230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.