Individual provider Active NPI

Salima A Widwani, PTA

  • Physical Therapy Assistant
  • Duncanville, TX
National Provider Identifier
1871090738
Registry record updated Apr 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2134436 Issued in TX
Practice address
419 S Cockrell Hill Rd
Duncanville, TX 75116-4939
Phone
(682) 472-8203
NPI assigned
Apr 8, 2018
Last updated
Apr 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2134436 TX Primary

Addresses

Primary practice location

419 S Cockrell Hill Rd
Duncanville, TX 75116-4939

Mailing address

1000 E Ash LN Apt 1506
Euless, TX 76039-4761
Phone (682) 472-8203

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
2134436TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523145600000",
    "number": "1871090738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ASH LN APT 1506",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760394761",
            "telephone_number": "682-472-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S COCKRELL HILL RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164939",
            "telephone_number": "682-472-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDWANI",
        "first_name": "SALIMA",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2134436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; 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.