Individual provider Active NPI

Martha Fiddes, PT GCS

  • Geriatric Physical Therapist
  • Mesquite, TX
National Provider Identifier
1851729479
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
1050227 Issued in TX
Practice address
900 Wiggins Pkwy
Mesquite, TX 75150-1400
Phone
(214) 532-6810
Fax
(866) 529-3789
NPI assigned
Oct 16, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1050227 TX Primary

Addresses

Primary practice location

900 Wiggins Pkwy
Mesquite, TX 75150-1400

Mailing address

900 Wiggins Pkwy
Mesquite, TX 75150-1400
Phone (214) 532-6810

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

LicenseStateTypeSpecialty
1050227TXMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1851729479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WIGGINS PKWY",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501400",
            "telephone_number": "214-532-6810",
            "fax_number": "866-529-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WIGGINS PKWY",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501400",
            "telephone_number": "214-532-6810",
            "fax_number": "866-529-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDDES",
        "first_name": "MARTHA",
        "credential": "PT GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1050227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.