Active NPI
Heather Pietsch
- Physical Therapy Assistant
- Wharton, TX
National Provider Identifier
1770775264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 2100 Regional Medical Dr
Wharton, TX 77488-9719 - Phone
- (979) 532-0888
- NPI assigned
- Aug 17, 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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
2100 Regional Medical Dr
Wharton, TX 77488-9719
Mailing address
282 Meadowview Dr
El Campo, TX 77437-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41052 | Other | TX | LICENSE# |
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": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1770775264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 MEADOWVIEW DR",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774376300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 REGIONAL MEDICAL DR",
"city": "WHARTON",
"state": "TX",
"postal_code": "774889719",
"telephone_number": "979-532-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETSCH",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "41052",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wharton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.