Severa Willacker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1298429 Issued in TX

Practice address

21938 Royal Montreal Dr
Katy, TX 77450-5142

Phone

(281) 944-0001

NPI assigned

Sep 15, 2017

Last updated

Jan 4, 2022By 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

Other names 1

• Severa Calzada Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 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.

• Origin Physical Therapy FL PLLC

  • Physical Therapist
  • Austin, TX
  • NPI 1477220861
  Medicare reassignment Care Compare group NPD
• Ideal Physical Therapy of Texas LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  Medicare reassignment NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1548789092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21938 ROYAL MONTREAL DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21938 ROYAL MONTREAL DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505142",
            "telephone_number": "281-944-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLACKER",
        "first_name": "SEVERA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1298429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEVERA",
            "last_name": "CALZADA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Grinsfelder Wilkes, LMSW
• Anita Wilkins, PMHNP-BC
• Magan Wilkins, MSN, APRN, FNP-C
• Monacelle M Wilkins
• Delorean S. Wilkinson-McGee, LCSW
• William a Currie MD PA
• Williams Medical Transportation Services
• Dawn Marie Williams-Diggins, DPM
• Shelly Christina Williams-Isingo, FNP-BC, PMHNP-BC
• Ahkil Williams

• Physical Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.