Ingrid Anne Thies, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1147807 Issued in TX

Practice address

1356 FM 2673
Canyon Lake, TX 78133-4510

Phone

(830) 907-2145

NPI assigned

Dec 18, 2024

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southlake BNPT Investment LLCGroup PAC ID 5991136095, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southlake BNPT Investment LLC

  dba Professional Therapy Services of Texas

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1205468683

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Professional Therapy Services of Texas, Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1013921444
  NPD (past)

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1528875937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334510",
            "telephone_number": "830-907-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334510",
            "telephone_number": "830-907-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIES",
        "first_name": "INGRID",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1147807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Statz, PSYD, LPC-S
• Surgical Medical Services, LLC
• TCP Counseling & Wellness Services (TCP Marriage & Family Services)
• Terry Lively Enterprises
• Josephine A Than, PHARMD
• Cynthia Ann Trainer
• Charles Gordon Tubbs, M.D.
• Jannah Holley Vise, L. AC
• Wempower USA
• Virginia R White, LVN

• Physical Therapist in Canyon Lake, TX
• Providers in Canyon Lake, 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 18, 2024; 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.