Active NPI
Nicolae Catalin Potcoava, PT
- Physical Therapist
- Liberty, TX
National Provider Identifier
1538150446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1141919
- Practice address
- 1200 Highway 90
Liberty, TX 77575-5718 - Phone
- (832) 527-6096
- NPI assigned
- Oct 31, 2005
- Last updated
- Mar 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1141919 | TX | Primary |
Addresses
Primary practice location
1200 Highway 90
Liberty, TX 77575-5718
Mailing address
7418 Rosebud Bend Dr
Humble, TX 77346-3290
Phone (832) 527-6096
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T1025 | Other | TX | BLUE CROSS BLUE SHEILD |
| 1141919 | Other | TX | P.T. LICENSE NUMBER |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1538150446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7418 ROSEBUD BEND DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463290",
"telephone_number": "832-527-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HIGHWAY 90",
"city": "LIBERTY",
"state": "TX",
"postal_code": "775755718",
"telephone_number": "832-527-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTCOAVA",
"first_name": "NICOLAE",
"middle_name": "CATALIN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1141919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "8T1025",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P.T. LICENSE NUMBER",
"identifier": "1141919",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.