Active NPI
Gladys Nyachwaya, PTA
- Physical Therapy Assistant
- Lancaster, TX
National Provider Identifier
1831733674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2061438
- Practice address
- 1241 Westridge Ave
Lancaster, TX 75146-1442 - Phone
- (972) 227-5110
- NPI assigned
- Nov 5, 2019
- 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 | 2061438 | TX | Primary |
Addresses
Primary practice location
1241 Westridge Ave
Lancaster, TX 75146-1442
Mailing address
1241 Westridge Ave
Lancaster, TX 75146-1442
Phone (972) 227-5110
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lancaster |
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 |
|---|---|---|---|
| 2061438 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1831733674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 WESTRIDGE AVE",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461442",
"telephone_number": "972-227-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 WESTRIDGE AVE",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461442",
"telephone_number": "972-227-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYACHWAYA",
"first_name": "GLADYS",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2061438",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lancaster",
"affiliation": "N",
"address_1": "1241 Westridge Ave",
"city": "Lancaster",
"state": "TX",
"country_code": "US",
"postal_code": "751461442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lancaster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.