Individual provider Active NPI

Divina Ramos Padilla, PT

  • Physical Therapist
  • N. Richland Hills, TX
National Provider Identifier
1679249221
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1282819 Issued in TX
Practice address
6350 Winter Park Dr. Atria at Hometown
N. Richland Hills, TX 76180
Phone
(817) 503-0702
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 1282819 TX Primary

Addresses

Primary practice location

6350 Winter Park Dr. Atria at Hometown
N. Richland Hills, TX 76180

Mailing address

6265 Jackstaff Dr
Fort Worth, TX 76179
Phone (940) 503-9014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908001903 TX Practitioner - Physical Therapist in Private Practice 4284030727 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Synergy Care Southeast, LLC Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients

Locations

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

6350 Winter Park Dr
Richland Hills, TX 76180
Phone (817) 380-4956

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1679249221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 JACKSTAFF DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76179",
            "telephone_number": "940-503-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 WINTER PARK DR. ATRIA AT HOMETOWN",
            "city": "N. RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76180",
            "telephone_number": "817-503-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "DIVINA",
        "middle_name": "RAMOS",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1282819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N. Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.