Active NPI
Catalina Clavijo, PT
- Physical Therapist
- Lubbock, TX
National Provider Identifier
1548745649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1292940
- Practice address
- 4214 98TH St
Lubbock, TX 79423 - Phone
- (806) 712-7878
- Fax
- (806) 722-7878
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- 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 | 1292940 | TX | Primary |
Addresses
Primary practice location
4214 98TH St
Lubbock, TX 79423
Mailing address
3419 22ND St
Lubbock, TX 79410-1334
Phone (806) 796-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 University Dr E
Suite 320
Bryan, TX 77802-3478
Phone (979) 704-5029
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.62 of 100
- Quality
- 58.26
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 76.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1292940 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Valley Physicians Alliance | Current | Accepting new patients | |
| Brazos Valley Physicians Alliance | Current | Accepting new patients |
Locations
3201 University Dr E
Ste 320
Bryan, TX 77802
Phone (979) 704-5029
3201 University Dr E
Ste 3
Bryan, TX 77802
Phone (979) 704-5029
Interoperability endpoints
- catalina.clavijo.1@25466.direct.athenahealth.com
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.
-
- Surgery Physician
- Bryan, TX
- NPI 1326495508
-
- Orthopaedic Surgery Physician
- Bryan, TX
- NPI 1609493543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1548745649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 22ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101334",
"telephone_number": "806-796-3000",
"fax_number": "806-796-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 98TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79423",
"telephone_number": "806-712-7878",
"fax_number": "806-722-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAVIJO",
"first_name": "CATALINA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1292940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.