Active NPI
Teressa F Chustz, PT
- Physical Therapist
- Porter, TX
National Provider Identifier
1801928676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1177843
- Practice address
- 19498 Riverwalk Dr
Porter, TX 77365-3779 - Phone
- (281) 354-1633
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 1177843 | TX | Primary |
Addresses
Primary practice location
19498 Riverwalk Dr
Porter, TX 77365-3779
Mailing address
19498 Riverwalk Dr
Porter, TX 77365-3779
Phone (281) 354-1633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1068543 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1177843 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1801928676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19498 RIVERWALK DR",
"city": "PORTER",
"state": "TX",
"postal_code": "773653779",
"telephone_number": "281-354-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19498 RIVERWALK DR",
"city": "PORTER",
"state": "TX",
"postal_code": "773653779",
"telephone_number": "281-354-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUSTZ",
"first_name": "TERESSA",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1177843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1068543",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Porter, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.