Enrico Vistan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PENDING Issued in TX

Practice address

8790 Highway 6 Ste 140
Missouri City, TX 77459-7115

Phone

(281) 778-1822

NPI assigned

Aug 6, 2024

Sex

Male

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)

Not enrolled

State licenses

Practice roles

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.

• Memorial Hermann Health System

  dba Memorial Hermann Pharmacy-TMC

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1366229619
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1508696212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12308 WINEBROOK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841679",
            "telephone_number": "832-419-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 HIGHWAY 6 STE 140",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597115",
            "telephone_number": "281-778-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTAN",
        "first_name": "ENRICO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.