Individual provider Active NPI

Nazish W Pasternak, PT, FAAOMPT

  • Physical Therapist
  • San Marcos, TX
National Provider Identifier
1598030835
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1176522 Issued in TX
Practice address
1602 Aquarena Springs Dr Ste 101
San Marcos, TX 78666-7268
Phone
(512) 667-9479
Fax
(512) 717-3244
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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 1176522 TX Primary

Addresses

Primary practice location

1602 Aquarena Springs Dr Ste 101
San Marcos, TX 78666-7268

Mailing address

1602 Aquarena Springs Dr Ste 101
San Marcos, TX 78666-7268
Phone (512) 667-9479

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170608002382 TX Practitioner - Physical Therapist in Private Practice 2264700558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21195 Ih
35 Suite 201
Kyle, TX 78640-6078
Phone (512) 268-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy and Sports Medicine Centers of Kyle PLLC Physical Therapist CurrentSince Oct 11, 2025 Accepting new patients
Christus Santa Rosa Health Care Corporation PastSince Sep 4, 2018 Accepting new patients

Locations

21195 S Ih 35
Ste 201
Kyle, TX 78640
Phone (512) 268-0000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1598030835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 AQUARENA SPRINGS DR STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667268",
            "telephone_number": "512-667-9479",
            "fax_number": "512-717-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 AQUARENA SPRINGS DR STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667268",
            "telephone_number": "512-667-9479",
            "fax_number": "512-717-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "NAZISH",
        "middle_name": "W",
        "credential": "PT, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1176522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.