Individual provider Active NPI

Chemetra Patrick, PT, DPT

  • Physical Therapist
  • San Marcos, TX
National Provider Identifier
1801273487
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1244661 Issued in TX
Practice address
102 Wonder World Dr Ste 401
San Marcos, TX 78666-6072
Phone
(512) 262-9578
Fax
(512) 782-2989
NPI assigned
May 2, 2015
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 1244661 TX Primary

Addresses

Primary practice location

102 Wonder World Dr Ste 401
San Marcos, TX 78666-6072

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180109000548 TX Practitioner - Physical Therapist in Private Practice 6608135124 Reassigns benefits to 2 organizations
I20260624004480 DC Practitioner - Physical Therapist in Private Practice 6608135124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

102 Wonder World Dr
401 Results Physiotherapy
San Marcos, TX 78666-6072
Phone (512) 262-9578

15630 Old Columbia Pike
Suite F
Burtonsville, MD 20866-1617
Phone (240) 559-5270

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

102 Wonder World Dr
Ste 401
San Marcos, TX 78666
Phone (512) 262-9578

Organizations & group practices 4

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": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1801273487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WONDER WORLD DR STE 401",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666072",
            "telephone_number": "512-262-9578",
            "fax_number": "512-782-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "CHEMETRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1244661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

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