Active NPI
Mayur Bhakta
- Geriatric Physical Therapist
- Irving, TX
National Provider Identifier
1841863586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2144643
- Practice address
- 2101 W Northgate Dr
Irving, TX 75062-2650 - Phone
- (972) 255-4460
- NPI assigned
- Jul 21, 2021
- Last updated
- Jul 21, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2144643 | TX | Primary |
Addresses
Primary practice location
2101 W Northgate Dr
Irving, TX 75062-2650
Mailing address
463 Fox Ridge Dr
Princeton, TX 75407-2951
Phone (325) 200-2866
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Other | |
| Other URL | northgate | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 2144643 | TX | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1841863586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 FOX RIDGE DR",
"city": "PRINCETON",
"state": "TX",
"postal_code": "754072951",
"telephone_number": "325-200-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 W NORTHGATE DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750622650",
"telephone_number": "972-255-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "MAYUR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "2144643",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "2101 W Northgate Dr",
"city": "Irving",
"state": "TX",
"country_code": "US",
"postal_code": "750622650",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "northgate",
"affiliation": "N",
"endpointDescription": "rehab",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2101 W Northgate Dr",
"city": "Irving",
"state": "TX",
"country_code": "US",
"postal_code": "750622650",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.