Active NPI
Mayra Miluska Zerpa Calderon, DPT
- Physical Therapy Clinic/Center
- Coppell, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT5445
- Practice address
- 3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473 - Phone
- (800) 521-5060
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT5445 | ME | Primary |
Addresses
Primary practice location
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Mailing address
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone (800) 521-5060
Other practice location 1
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone (800) 521-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (847) 468-1400
420 W Northwest Hwy
Suite M
Barrington, IL 60010-6812
Phone (847) 382-6766
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.69 of 100
- Quality
- 74.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5445 | ME | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Valley Orthopaedic Associates, S.C. | Current | Accepting new patients | |
| Fox Valley Orthopaedic Associates, PLLC | Current | Accepting new patients | |
| Fox Valley Orthopaedic Associates, PLLC | Physical Therapy | Current | Accepting new patients |
Locations
2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400
Interoperability endpoints
- mayra.zerpa.calderon.1@26750.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1295706851
Physical Therapy
-
- Ambulatory Surgical Clinic/Center
- Geneva, IL
- NPI 1104897644
-
- Orthopaedic Surgery Physician
- Elgin, IL
- NPI 1689212623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1922653088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 OLYMPUS BLVD STE 500",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195473",
"telephone_number": "800-521-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OLYMPUS BLVD STE 500",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195473",
"telephone_number": "800-521-5060"
}
],
"practiceLocations": [
{
"address_1": "3100 Olympus Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Coppell",
"state": "TX",
"postal_code": "750195473",
"country_code": "US",
"telephone_number": "800-521-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZERPA CALDERON",
"first_name": "MAYRA",
"middle_name": "MILUSKA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "ME",
"license": "PT5445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.