Isac Walterscheid, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2163317 Issued in TX

Practice address

1020 N Grand Ave
Gainesville, TX 76240-3524

Phone

(940) 665-3496

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1720742059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403524",
            "telephone_number": "940-665-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403524",
            "telephone_number": "940-665-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERSCHEID",
        "first_name": "ISAC",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2163317",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "2163317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "1020 N Grand Ave",
            "city": "Gainesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762403524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.