Individual provider Active NPI

Fabiana Bastos Villari, DPT

  • Physical Therapy Assistant
  • Fort Worth, TX
National Provider Identifier
1689300816
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2089557 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL fvillari Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103000779 TX Practitioner - Physical Therapist in Private Practice 6608246905 Reassigns benefits to 1 organization

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 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3129659TXMDPhysical Therapist
2089557TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Nov 3, 2022 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Nov 3, 2022 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.

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.

Verify at the official NPI Registry.