Victoria Olive Desilets, DPT
Individual provider Active NPI Physical Therapist · Saginaw, TX
NPI 1720601933 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1720601933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1329138 (TX)
- Practice address
- 1640 Basswood Blvd
Saginaw, TX 76131-4967 - Phone
- (817) 204-1045
- NPI assigned
- May 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
1640 Basswood Blvd
Saginaw, TX 76131-4967
Phone (817) 502-6339
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200710000404 | TX | Practitioner - Physical Therapist in Private Practice | 8729401682 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1329138 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995
5510 Abrams Rd
Ste 115
Dallas, TX 75214
Phone (214) 265-9700
125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318
1640 Basswood Blvd
Saginaw, TX 76131
Phone (817) 502-6339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1329138 | TX | Yes |
Addresses
Primary practice location
1640 Basswood Blvd
Saginaw, TX 76131-4967
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other names
- Victoria Rae Olive
Other providers in Saginaw, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.