Mikyla Feliciano Anderson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1290753 Issued in TX

Practice address

1600 FM 544 # 200
Lewisville, TX 75056-4591

Phone

(214) 295-5677

NPI assigned

Oct 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mikyla Feliciano Vastine Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fit Physical Therapy LLCGroup PAC ID 3072749753, 10 clinicians

Practice addresses (Care Compare)

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.

• Fit Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Frisco, TX
  • NPI 1194167486
  Medicare reassignment Care Compare group NPD
• Empower Physical Therapy TX LLC

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1588205033
  Medicare reassignment NPD
• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD

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

{
    "created_epoch": "1509235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1881106979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 BAYVIEW DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931938",
            "telephone_number": "682-553-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FM 544 # 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564591",
            "telephone_number": "214-295-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Western Center Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761314302",
            "country_code": "US",
            "telephone_number": "817-847-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MIKYLA",
        "middle_name": "FELICIANO",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1290753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKYLA",
            "last_name": "VASTINE",
            "middle_name": "FELICIANO",
            "prefix": "MS.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Eric T Anderson, MD
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• Jennifer Andress, PTA
• Shatavia Nicole Andrews, MS, LPC
• Angel Santiago Jr., D.C., P.a.
• Anil Nanda, M.D., P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; 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.