Individual provider Active NPI

Vicki Habecker, P.T.

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1841407376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1007938 Issued in TX
Practice address
1200 Coit Rd
Suite 101a
Plano, TX 75075-4750
Phone
(972) 964-6589
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

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 1007938 TX Primary

Addresses

Primary practice location

1200 Coit Rd
Suite 101a
Plano, TX 75075-4750

Mailing address

3517 Dartmouth Dr
Plano, TX 75075-7825
Phone (972) 964-6589

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841407376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 DARTMOUTH DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757825",
            "telephone_number": "972-964-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COIT RD",
            "address_2": "SUITE 101A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754750",
            "telephone_number": "972-964-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABECKER",
        "first_name": "VICKI",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1007938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.