Individual provider Active NPI

Adrian A Sobrevilla, P.T.

  • Physical Therapist
  • Terrell, TX
National Provider Identifier
1831254812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1037851 Issued in TX
Practice address
904 W Moore Ave
Terrell, TX 75160-3004
Phone
(972) 563-1824
Fax
(972) 524-5929
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1037851 TX Primary

Addresses

Primary practice location

904 W Moore Ave
Terrell, TX 75160-3004

Mailing address

904 W Moore Ave
Terrell, TX 75160-3004
Phone (972) 563-1824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000897 TX Practitioner - Physical Therapist in Private Practice 7315905478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4138 19TH St
Lubbock, TX 79407-2403
Phone (806) 780-2329

Merit-based Incentive Payment System (MIPS)

Final score
72.17 of 100Reported as group
Quality
45.78
Promoting interoperability
92
Improvement activities
40
Cost
68.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1037851TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Today of Lubbock, LP Physical Therapist CurrentSince May 17, 2024 Accepting new patients
Physical Therapy Today of Lubbock LP Physical Therapist Current Accepting new patients
Kaufman Physical Therapy and Rehabilitation Physical Therapist CurrentSince Jan 1, 2005 Accepting new patients
Physical Therapy Today of Lubbock LP Physical Therapist CurrentSince May 17, 2024 Accepting new patients

Locations

2241 Peggy Ln
Ste C
Garland, TX 75042
Phone (972) 272-9643

2700 Commerce Way
Ste 100
Kaufman, TX 75142
Phone (469) 595-3737

4138 19th St
Lubbock, TX 79407
Phone (806) 780-2329

2696 N Galloway Ave
Ste 101
Mesquite, TX 75150
Phone (972) 270-5555

904 W Moore Ave
Ste A
Terrell, TX 75160
Phone (972) 253-1827

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17636/brand/1/csg/1/fhir/r4

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831254812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603004",
            "telephone_number": "972-563-1824",
            "fax_number": "972-524-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603004",
            "telephone_number": "972-563-1824",
            "fax_number": "972-524-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBREVILLA",
        "first_name": "ADRIAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1037851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.