Individual provider Active NPI

Roxana I Santaella, PT, DPT, C/NDT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1578694667
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1172067 Issued in TX
Practice address
4888 Loop Central Dr Ste 200
Houston, TX 77081
Phone
(917) 604-8907
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1172067 TX
Developmental Therapist 222Q00000X 30054 FL
Physical Therapist 225100000X 1172067 TX Primary

Addresses

Primary practice location

4888 Loop Central Dr Ste 200
Houston, TX 77081

Mailing address

4888 Loop Central Dr Ste 200
Houston, TX 77081-2227
Phone (713) 838-9050

Other identifiers 4

IdentifierTypeStateIssuer
017055200MedicaidFL
143404501MedicaidTX
742965954OtherTXFACILITY TAX ID NO.
1629189246OtherTXNPI #

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1172067TXMDSpecialist
30054FLMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals of Greater Houston, Inc. Past Accepting new patients
Easter Seals of Greater Houston Inc. PastSince Apr 11, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1578694667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812227",
            "telephone_number": "713-838-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77081",
            "telephone_number": "917-604-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAELLA",
        "first_name": "ROXANA",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, C/NDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1172067",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "30054",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1172067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017055200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143404501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY TAX ID NO.",
            "identifier": "742965954",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1629189246",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.