Individual provider Active NPI

Zherina Siasico Bernardino-Buenaventura, PT,DPT

  • Physical Medicine & Rehabilitation Physician
  • Katy, TX
National Provider Identifier
1679185383
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1259341 Issued in TX
Practice address
6107 Verde Place LN
Katy, TX 77493-2827
Phone
(425) 879-3822
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 1259341 TX
Physical Medicine & Rehabilitation Physician 208100000X 1259341 TX Primary

Addresses

Primary practice location

6107 Verde Place LN
Katy, TX 77493-2827

Mailing address

6107 Verde Place LN
Katy, TX 77493-2827
Phone (425) 879-3822

Other names 1

  • Zherina Siasico Bernardino Other name

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

LicenseStateTypeSpecialty
1259341TXMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Action Inc PastSince Nov 27, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1679185383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 VERDE PLACE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932827",
            "telephone_number": "425-879-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 VERDE PLACE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932827",
            "telephone_number": "425-879-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINO-BUENAVENTURA",
        "first_name": "ZHERINA",
        "middle_name": "SIASICO",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "1259341",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1259341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHERINA",
            "last_name": "BERNARDINO",
            "middle_name": "SIASICO",
            "credential": "PT,DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.