Individual provider Active NPI

Hemina S Doctor, PT, DPT

  • Physical Therapist
  • Georgetown, TX
National Provider Identifier
1598055238
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1157710 Issued in TX
Practice address
3011 Dawn Dr Ste 102a
Georgetown, TX 78628-2827
Phone
(512) 489-6861
Fax
(512) 500-0125
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 1157710 TX Primary

Addresses

Primary practice location

3011 Dawn Dr Ste 102a
Georgetown, TX 78628-2827

Mailing address

3011 Dawn Dr Ste 102a
Georgetown, TX 78628-2827
Phone (512) 489-6861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000546 TX Practitioner - Physical Therapist in Private Practice 1759282098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3011 Dawn Dr
Suite 102a
Georgetown, TX 78628-2827
Phone (512) 489-6861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rely Physical Therapy PLLC Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients
Saint Vincent Rehab Solutions LLC Physical Therapist Past Accepting new patients
St Vincent Medical Education and Research Institute Inc Past Accepting new patients
Performancepro Sports Medicine and Rehabilitation Past Accepting new patients

Locations

3011 Dawn Dr
Ste 102A
Georgetown, TX 78628
Phone (512) 489-6861

4500 Williams Dr
Ste 212319
Georgetown, TX 78633

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1598055238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 DAWN DR STE 102A",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282827",
            "telephone_number": "512-489-6861",
            "fax_number": "512-500-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 DAWN DR STE 102A",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282827",
            "telephone_number": "512-489-6861",
            "fax_number": "512-500-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "HEMINA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1157710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.