Active NPI
Fabiana Bastos Villari, DPT
- Physical Therapy Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2089557
- Practice address
- 4617 W Bailey Boswell Rd
Fort Worth, TX 76179-4327 - Phone
- (682) 350-4206
- Fax
- (254) 249-1594
- NPI assigned
- Jul 29, 2022
- Last updated
- Dec 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3129659 | TX | |
| Physical Therapy Assistant | 225200000X | 2089557 | TX | Primary |
Addresses
Primary practice location
4617 W Bailey Boswell Rd
Fort Worth, TX 76179-4327
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
8500 Emerald Hills Way
North Richland Hills, TX 76180-5662
Phone (817) 577-3337
Other practice location 2
4060 Sandshell Dr
Fort Worth, TX 76137-2422
Phone (817) 306-9777
Other names 1
- Fabiana Bastos Silva
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | fvillari | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Medical Branch at Galveston, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4617 W Bailey Boswell Rd
Fort Worth, TX 76179-4327
Phone (682) 350-4106
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3129659 | TX | MD | Physical Therapist |
| 2089557 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
6080 Southwest Blvd
Benbrook, TX 76109
Phone (817) 731-9331
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
4617 W Bailey Boswell Rd
Fort Worth, TX 76179
Phone (682) 350-4106
7260 Blue Mound Rd
Ste 146
Fort Worth, TX 76131
Phone 68228593508830
7410 McCart Ave
Ste 108
Fort Worth, TX 76133
Phone (682) 350-4318
861 North Tarrant Pkwy
Unit 100
Keller, TX 76248
Phone (817) 918-2480
5121 Rufe Snow Dr
Ste 110
North Richland Hills, TX 76180
Phone (817) 345-4367
245 W State Highway 114
Ste 320
Southlake, TX 76092
Phone (817) 873-5311
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1689300816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4617 W BAILEY BOSWELL RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761794327",
"telephone_number": "682-350-4206",
"fax_number": "254-249-1594"
}
],
"practiceLocations": [
{
"address_1": "8500 Emerald Hills Way",
"address_purpose": "LOCATION",
"city": "North Richland Hills",
"state": "TX",
"postal_code": "761805662",
"country_code": "US",
"telephone_number": "817-577-3337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4060 Sandshell Dr",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761372422",
"country_code": "US",
"telephone_number": "817-306-9777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLARI",
"first_name": "FABIANA",
"middle_name": "BASTOS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3129659",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2089557",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "fvillari",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7116 Denver City Dr",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761792537",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "FABIANA",
"last_name": "SILVA",
"middle_name": "BASTOS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.