Active NPI
Honorata Bardaje Nicart, PT
- Physical Therapist
- Brownsville, TX
National Provider Identifier
1619112240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1127470
- Practice address
- 435 Paredes Line Rd
Suite a
Brownsville, TX 78521-2444 - Phone
- (956) 544-4500
- NPI assigned
- Dec 11, 2008
- 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 | 1127470 | TX | Primary |
Addresses
Primary practice location
435 Paredes Line Rd
Suite a
Brownsville, TX 78521-2444
Mailing address
475 Red Rose St
Brownsville, TX 78520-9366
Phone (956) 266-2114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199430301 | Other | TX | MEDICAID TPI |
| 8F24258 | Other | TX | MEDICARE PTAN |
Other names 1
- Honorata Shiela Bardaje Nicart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1127470 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Action Inc | Physical Therapist | Current | Accepting new patients |
Locations
435 Paredes Line Rd
#A
Brownsville, TX 78521
Phone (956) 544-4500
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
- Harlingen, TX
- NPI 1487660734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1619112240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 RED ROSE ST",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785209366",
"telephone_number": "956-266-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 PAREDES LINE RD",
"address_2": "SUITE A",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785212444",
"telephone_number": "956-544-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICART",
"first_name": "HONORATA",
"middle_name": "BARDAJE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1127470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TPI",
"identifier": "199430301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8F24258",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HONORATA SHIELA",
"last_name": "NICART",
"middle_name": "BARDAJE",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.