Individual provider Active NPI

Isabella Amatuzzo, PT

  • Physical Therapist
  • Humble, TX
National Provider Identifier
1750757142
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1314164 Issued in TX
Practice address
19411 McKay Dr Ste 300
Humble, TX 77338
Phone
(281) 446-2680
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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 29057 CA
Physical Therapist 225100000X 1314164 TX Primary

Addresses

Primary practice location

19411 McKay Dr Ste 300
Humble, TX 77338

Mailing address

6 W Trace Creek Dr
The Woodlands, TX 77381-4509
Phone (949) 616-2406

Other practice location 1

26850 Ortega Hwy
K
San Juan Capistrano, CA 92675-3237
Phone (949) 616-2406

Other practice location 2

26850 Ortega Hwy
K
San Juan Capistrano, CA 92675-3237
Phone (949) 616-2406

Other names 1

  • Isabella Hofmeyr Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205000020 TX Practitioner - Physical Therapist in Private Practice 3678882586 Practice locations: Spring, TX

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26406 Oak Ridge Dr
Spring, TX 77380-1965
Phone (949) 616-2406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29057CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Speech & Language Center, LP Past Accepting new patients
Grace Physical Therapy, Inc. PastSince Apr 20, 2011 Accepting new patients
Cole Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1750757142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W TRACE CREEK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814509",
            "telephone_number": "949-616-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19411 MCKAY DR STE 300",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-446-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26850 Ortega Hwy",
            "address_2": "K",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926753237",
            "country_code": "US",
            "telephone_number": "949-616-2406",
            "fax_number": "949-606-8423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26850 Ortega Hwy",
            "address_2": "K",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926753237",
            "country_code": "US",
            "telephone_number": "949-616-2406",
            "fax_number": "949-606-8423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMATUZZO",
        "first_name": "ISABELLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29057",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1314164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "HOFMEYR",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.