Individual provider Active NPI

Savannah Wisnieski

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1942090972
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1406692 Issued in TX
Practice address
1431 Greenway Dr Ste 500
Irving, TX 75038-2444
Phone
(214) 467-9787
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1406692 TX Primary

Addresses

Primary practice location

1431 Greenway Dr Ste 500
Irving, TX 75038-2444

Mailing address

8326 Delta Down Dr
Fulshear, TX 77441-2178
Phone (979) 616-0617

Other practice location 1

2522 Westminister St
Pearland, TX 77581-4518
Phone (281) 997-8509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702004260 TX Practitioner - Physical Therapist in Private Practice 1759894652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

Practice addresses (Care Compare)

1401 Soldiers Field Dr
Sugar Land, TX 77479-4085
Phone (713) 853-3996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1406692TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 2000 Inc CurrentSince May 18, 2025 Accepting new patients
McDonough Physical Therapy, LLC Physical Therapist CurrentSince Jun 19, 2025 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Green Apple LLC CurrentSince May 18, 2025 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Riverkids Houston Therapy, LLC PastSince Jun 16, 2024 Accepting new patients

Locations

1431 Greenway Dr
Ste 500
Irving, TX 75038
Phone (214) 467-9787

24608 Kingsland Blvd
Katy, TX 77494
Phone (281) 665-8552

5800 Granite Pkwy
Ste 325
Plano, TX 75024

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1942090972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8326 DELTA DOWN DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412178",
            "telephone_number": "979-616-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 GREENWAY DR STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382444",
            "telephone_number": "214-467-9787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2522 Westminister St",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775814518",
            "country_code": "US",
            "telephone_number": "281-997-8509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIESKI",
        "first_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1406692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.