Individual provider Active NPI

Ofelia Rodriguez Sierra, PTA

  • Physical Therapy Assistant
  • Beaumont, TX
National Provider Identifier
1881467959
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2175293 Issued in TX
Practice address
4027 Dowlen Rd
Beaumont, TX 77706-6850
Phone
(409) 899-2765
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 2175293 TX Primary

Addresses

Primary practice location

4027 Dowlen Rd
Beaumont, TX 77706-6850

Mailing address

4027 Dowlen Rd
Beaumont, TX 77706-6850
Phone (281) 781-9235

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
2175293TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Physical Therapy Limited Partnership CurrentSince Nov 5, 2023 Accepting new patients
Norman Physical Therapy Limited PastSince Nov 5, 2023 Accepting new patients

Locations

4027 Dowlen Rd
Beaumont, TX 77706
Phone (409) 899-2765

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1881467959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066850",
            "telephone_number": "281-781-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066850",
            "telephone_number": "409-899-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SIERRA",
        "first_name": "OFELIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2175293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.