Individual provider Active NPI

Egle Bauzaite

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1639580483
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1242735 Issued in TX
Practice address
6011 Harry Hines Blvd
Suite V3.106
Dallas, TX 75235-5386
Phone
(214) 645-2080
NPI assigned
May 14, 2014
Last updated
May 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2014

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 1242735 TX Primary

Addresses

Primary practice location

6011 Harry Hines Blvd
Suite V3.106
Dallas, TX 75235-5386

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (704) 677-6786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529000693 TX Practitioner - Physical Therapist in Private Practice 2567685134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1242735TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas Physical Therapist CurrentSince Jun 2, 2014 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 2, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

6011 Harry Hines Blvd
Ste V3
Dallas, TX 75235
Phone (214) 648-6562

6011 Harry Hines Blvd
Ste V3106
Dallas, TX 75235
Phone (214) 648-6562

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1639580483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "704-677-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 HARRY HINES BLVD",
            "address_2": "SUITE V3.106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355386",
            "telephone_number": "214-645-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUZAITE",
        "first_name": "EGLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1242735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.