Active NPI
Mark Herrera, DPT
- Physical Therapist
- Kyle, TX
National Provider Identifier
1982066874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1271369
- Practice address
- 1300 Dacy LN Ste 100
Kyle, TX 78640-4194 - Phone
- (512) 213-8001
- Fax
- (512) 436-0874
- NPI assigned
- Mar 22, 2016
- Last updated
- Jul 22, 2020
- Sex
- Male
- 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 | 1271369 | TX | Primary |
Addresses
Primary practice location
1300 Dacy LN Ste 100
Kyle, TX 78640-4194
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Other practice location 1
1335 E Whitestone Blvd
Suite O-100
Cedar Park, TX 78613-7598
Phone (512) 539-0032
Other practice location 2
5601 Brodie Ln Ste 640
Sunset Valley, TX 78745-2551
Phone (512) 580-3055
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Cedar Park, TX
- NPI 1396100731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1982066874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306393",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306393",
"telephone_number": "615-373-1350",
"fax_number": "615-221-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 DACY LN STE 100",
"city": "KYLE",
"state": "TX",
"postal_code": "786404194",
"telephone_number": "512-213-8001",
"fax_number": "512-436-0874"
}
],
"practiceLocations": [
{
"address_1": "1335 E Whitestone Blvd",
"address_2": "Suite O-100",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786137598",
"country_code": "US",
"telephone_number": "512-539-0032",
"fax_number": "512-539-0034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5601 Brodie Ln Ste 640",
"address_purpose": "LOCATION",
"city": "Sunset Valley",
"state": "TX",
"postal_code": "787452551",
"country_code": "US",
"telephone_number": "512-580-3055",
"fax_number": "512-580-3056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "MARK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1271369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.