Paula Finan Prestemon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1031292 Issued in TX

Practice address

1200 Coit Rd
Suite 101a
Plano, TX 75075-4750

Phone

(972) 964-6633

Fax

(972) 964-5227

NPI assigned

Apr 4, 2006

Last updated

Sep 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Paula Bergenholtz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1598727661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 TAPESTRY CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753511",
            "telephone_number": "972-964-8842",
            "fax_number": "972-964-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COIT RD",
            "address_2": "SUITE 101A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754750",
            "telephone_number": "972-964-6633",
            "fax_number": "972-964-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTEMON",
        "first_name": "PAULA",
        "middle_name": "FINAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1031292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "BERGENHOLTZ",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.