Individual provider Active NPI

Mindy Janelle Eckert, PT, DPT

  • Physical Therapist
  • Fredericksburg, TX
National Provider Identifier
1588015481
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1245967 Issued in TX
Practice address
815 S Milam St
Fredericksburg, TX 78624-4789
Phone
(830) 205-1470
Fax
(210) 864-0764
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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 1245967 TX Primary

Addresses

Primary practice location

815 S Milam St
Fredericksburg, TX 78624-4789

Mailing address

815 S Milam St
Fredericksburg, TX 78624-4789
Phone (830) 205-1470

Other names 1

  • Mindy J Costa Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914000159 TX Practitioner - Physical Therapist in Private Practice 9537455753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascent Therapy Group, LLCGroup PAC ID 0446772875, 8 clinicians

Practice addresses (Care Compare)

815 S Milam St
Fredericksburg, TX 78624-4789
Phone (830) 205-1470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1245967TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Therapy Group, LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients

Locations

815 S Milam St
Fredericksburg, TX 78624
Phone (830) 205-1470

Interoperability endpoints

  • Direct secure messaging: mindy.eckert@hca7.eclinicaldirectplus.com

Organizations & group practices 1

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1588015481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244789",
            "telephone_number": "830-205-1470",
            "fax_number": "210-764-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244789",
            "telephone_number": "830-205-1470",
            "fax_number": "210-864-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "MINDY",
        "middle_name": "JANELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1245967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "COSTA",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.