Individual provider Active NPI

Valeria Carolina Galvan Godines, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1730920240
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1391760 Issued in TX
Practice address
4120 Heritage Trace Pkwy Ste 220
Fort Worth, TX 76244-5309
Phone
(682) 325-3015
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1391760 TX Primary

Addresses

Primary practice location

4120 Heritage Trace Pkwy Ste 220
Fort Worth, TX 76244-5309

Mailing address

6509 Plaza Pkwy Apt 212
Fort Worth, TX 76116-2421
Phone (956) 639-5046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731000586 TX Practitioner - Physical Therapist in Private Practice 1254878986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy TX LLCGroup PAC ID 1658705942, 62 clinicians

Practice addresses (Care Compare)

4120 Heritage Trace Pkwy
Suite 220
Fort Worth, TX 76244-5309
Phone (817) 498-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1391760TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Premier Rehab, P.C. Physical Therapist PastSince Dec 22, 2013 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

4140 N Collins St
Ste 100
Arlington, TX 76005
Phone (817) 898-0078

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200

4120 Heritage Trace Pkwy
Ste 220
Fort Worth, TX 76244
Phone (817) 741-7585

3445 Golden Triangle Blvd
Ft Worth, TX 76177
Phone (817) 812-3007

816 Keller Pkwy
Ste 200
Keller, TX 76248
Phone (817) 200-7445

1600 FM 544
Ste 200
Lewisville, TX 75056
Phone (214) 295-5677

5060 Davis Blvd
North Richlnd Hls, TX 76180
Phone (817) 385-7102

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

1700 Commons Cir
#100
Northlake, TX 76226
Phone (940) 213-9001

Organizations & group practices 3

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1730920240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 PLAZA PKWY APT 212",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162421",
            "telephone_number": "956-639-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 HERITAGE TRACE PKWY STE 220",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445309",
            "telephone_number": "682-325-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN GODINES",
        "first_name": "VALERIA",
        "middle_name": "CAROLINA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1391760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2024; 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.