Carla Katherine Valis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01177750 Issued in TX

Practice address

1200 Richland Dr
Suite G D13
Waco, TX 76710-8008

Phone

(254) 772-0118

Fax

(254) 772-3883

NPI assigned

Jul 5, 2006

Last updated

Aug 10, 2007By the provider in NPPES

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

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.

• Heart of Texas Region MHMR Center

  dba Heart of Texas Behavioral Health Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waco, TX
  • NPI 1639399132
  Medicare reassignment NPD
• Bosque River Physical Therapy and Rehabilitation Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Waco, TX
  • NPI 1003021932
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1538190079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RICHLAND DR",
            "address_2": "SUITE G D13",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767108008",
            "telephone_number": "254-772-0118",
            "fax_number": "254-772-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RICHLAND DR",
            "address_2": "SUITE G D13",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767108008",
            "telephone_number": "254-772-0118",
            "fax_number": "254-772-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIS",
        "first_name": "CARLA",
        "middle_name": "KATHERINE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "01177750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Valadez, BT
• Jaylynn Nicole Valdez
• Melissa Kay Valerio, COTA/L
• Thomas J Valigura, MD
• Brooke Valis
• Linda Valls, LCSW
• Rylee Valtr, M.S.
• Emily Joy Van Beek, BCBA
• Katy Van Der Merwe, LPC
• Amy Van Hecke, BSN, RN, IBCLC

• Physical Therapist in Waco, TX
• Providers in Waco, 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 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.