Active NPI
Mindy Janelle Eckert, PT, DPT
- Physical Therapist
- Fredericksburg, TX
National Provider Identifier
1588015481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1245967
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1245967 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascent Therapy Group, LLC | Physical Therapist | Current | Accepting new patients |
Locations
815 S Milam St
Fredericksburg, TX 78624
Phone (830) 205-1470
Interoperability endpoints
- 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.
-
- Physical Therapist
- Fredericksburg, TX
- NPI 1710719760
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.