Fyzical Corpus Christi LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FYZICAL CORPUS CHRISTI LLC

Practice address

3201 Airline Rd Ste E
Corpus Christi, TX 78414-3571

Phone

(361) 334-1033

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Diana M Lopez

Title

Owner, Operations Manager

Phone

(210) 269-0242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fyzical Corpus Christi Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene Lopez, DPT

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1932696721
  Medicare reassignment NPD
• Thalia Pesina

  • Physical Therapy Assistant
  • Corpus Christi, TX
  • NPI 1720829724
  NPD
• Samantha Saenz, PTA

  • Physical Therapy Assistant
  • Corpus Christi, TX
  • NPI 1639893761
  NPD
• Ramiah Joseph Tabale, PTA

  • Physical Therapy Assistant
  • Corpus Christi, TX
  • NPI 1588323570
  NPD
• Jonathan Eric Vargas, PTA

  • Physical Therapy Assistant
  • Corpus Christi, TX
  • NPI 1952075863
  NPD

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1851917801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 GRAND LAKE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135267",
            "telephone_number": "210-269-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 AIRLINE RD STE E",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143571",
            "telephone_number": "361-334-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYZICAL CORPUS CHRISTI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, OPERATIONS MANAGER",
        "authorized_official_telephone_number": "210-269-0242",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932696721",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana.lopez@fyzical.com",
            "affiliation": "N",
            "address_1": "3201 Airline Rd Ste E",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784143571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fyzical Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christal Dawn Fuller, OT
• Crystal Lee Fultz
• Burcham Cooper Fuqua Jr., MD
• Brooklynn Faith Furnish, SLPA
• Future Focus Direct
• Catherine Gabbert
• Teresa Gabiano, NP
• Jessica E Gagnon, CFNP
• Heather Phipps Gaines
• Robert W. Galbreath

• Physical Therapy Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.