Seth Allen Petross

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3122640 Issued in TX

Practice address

14100 Ranch Road 12 Unit 100
Wimberley, TX 78676

Phone

(512) 847-3300

Fax

(512) 847-3314

NPI assigned

Aug 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seth Allen Petross Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.84 of 100Reported as group

Quality

80.88

Improvement activities

40

Cost

68.29

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Physical Therapy Specialists, Inc.

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338
  Medicare reassignment Care Compare group NPD
• 2 M Polhemus LLC

  • Physical Therapist
  • Wimberley, TX
  • NPI 1467750554
  Medicare reassignment NPD
• Texas Physical Therapy Specialists

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1568049484
  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1871072397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 100",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760019",
            "telephone_number": "512-847-3300",
            "fax_number": "512-847-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 100",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "78676",
            "telephone_number": "512-847-3300",
            "fax_number": "512-847-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSS",
        "first_name": "SETH",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3122640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "275122769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SETH",
            "last_name": "PETROSS",
            "middle_name": "ALLEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cyndi O'Toole, BCBA-D
• Frances M Otto, MS, CCC-SLP,MOT
• Holly Noel Palmer, COTA
• Andrew Turney Peeler
• Claudia Perez, BSN
• Amy Nicole Piatt, LPC-ASSOCIATE
• Matthew Anthony Polhemus, PT
• Nidia A Ponce Orozco, LCSW
• Eric Price, MD
• Roger Devern Pruitt, D.O.

• Physical Therapist in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.