Active NPI
Mildred G Gavino-Poock, PT
- Physical Therapist
- Sugar Land, TX
National Provider Identifier
1710013149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1401 Soldiers Field Dr
Sugar Land, TX 77479-4085 - Phone
- (281) 565-8614
- Fax
- (281) 325-1077
- NPI assigned
- Feb 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1401 Soldiers Field Dr
Sugar Land, TX 77479-4085
Mailing address
1401 Soldiers Field Dr
Sugar Land, TX 77479-4085
Phone (281) 565-8614
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1710013149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SOLDIERS FIELD DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794085",
"telephone_number": "281-565-8614",
"fax_number": "281-325-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SOLDIERS FIELD DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794085",
"telephone_number": "281-565-8614",
"fax_number": "281-325-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVINO-POOCK",
"first_name": "MILDRED",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.