Individual provider Active NPI

Vaishnavi Raghu, PT, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1578286829
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1368304 Issued in TX
Practice address
9291 Garland Rd Suite 110
Dallas, TX 75218-3062
Phone
(972) 892-4541
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1368304 TX Primary

Addresses

Primary practice location

9291 Garland Rd Suite 110
Dallas, TX 75218-3062

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440

Other practice location 1

5520 Sycamore School Rd Ste 230
Fort Worth, TX 76123-3062
Phone (817) 423-1621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121001157 TX Practitioner - Physical Therapist in Private Practice 7113395260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

9291 Garland Rd
Suite 110
Dallas, TX 75218-2850
Phone (972) 892-4541

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1368304TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince May 24, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince May 20, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Vista Rehab Partners LP Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

1267 W Exchange Pkwy
Ste 150
Allen, TX 75013
Phone (469) 342-0641

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

9291 Garland Rd
Ste 110
Dallas, TX 75218
Phone (972) 892-4541

9660 Audelia Rd
Ste 101
Dallas, TX 75238
Phone (214) 273-0510

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461

6333 E Mockingbird Ln
Ste 139
Dallas, TX 75214
Phone (469) 782-7786

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

5520 Sycamore School Rd
Ste 230
Ft Worth, TX 76123
Phone (817) 423-1621

6060 Rocky Point Trl
Ste 100
Lake Worth, TX 76135
Phone (682) 289-9840

491 S Angel Pkwy
Ste 400
Lucas, TX 75002
Phone (972) 737-6161

3001 S Hardin Blvd
Ste 120
McKinney, TX 75070
Phone (469) 748-3055

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1578286829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 GARLAND RD SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183062",
            "telephone_number": "972-892-4541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Sycamore School Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761233062",
            "country_code": "US",
            "telephone_number": "817-423-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGHU",
        "first_name": "VAISHNAVI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1368304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.