Active NPI
Elaine Santos, P.T.
- Physical Therapist
- Katy, TX
National Provider Identifier
1962526830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA00925400
- Practice address
- 1921 S Mason Rd
Katy, TX 77450-6258 - Phone
- (281) 394-4591
- Fax
- (908) 756-2447
- NPI assigned
- Mar 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | QA00925400 | NJ | Primary |
Addresses
Primary practice location
1921 S Mason Rd
Katy, TX 77450-6258
Mailing address
1921 S Mason Rd
Katy, TX 77450-6258
Phone (281) 394-4591
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223440358 | Other | NJ | HEALTHNET |
| 223440385 | Other | NJ | OXFORD |
| 223440348 | Other | NJ | AMERIHEALTH |
| 223440358 | Other | NJ | UNITED HEALTHCARE |
| 223440358 | Other | NJ | AETNA |
| 223440358 | Other | NJ | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA00925400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Physical Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
17935 Longenbaugh Rd
Cypress, TX 77433
Phone (281) 392-2200
265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1962526830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 S MASON RD",
"city": "KATY",
"state": "TX",
"postal_code": "774506258",
"telephone_number": "281-394-4591",
"fax_number": "908-756-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 S MASON RD",
"city": "KATY",
"state": "TX",
"postal_code": "774506258",
"telephone_number": "281-394-4591",
"fax_number": "908-756-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA00925400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "223440358",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "223440385",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "223440348",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "223440358",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "223440358",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "223440358",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.