Individual provider Active NPI

Nigel Paul Filler Hortaleza

  • Physical Therapist
  • Texarkana, TX
National Provider Identifier
1982142089
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1284298 Issued in TX
Practice address
4100 Moores LN
Texarkana, TX 75503-5102
Phone
(903) 831-2969
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4257 AR
Physical Therapist 225100000X 1284298 TX Primary

Addresses

Primary practice location

4100 Moores LN
Texarkana, TX 75503-5102

Mailing address

4704 Glenlea Dr
Texarkana, AR 71854-1728
Phone (832) 508-3071

Other practice location 1

316 General Cavazos Blvd
Kingsville, TX 78363-7245
Phone (361) 592-9366

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
4257ARMDPhysical Therapist
1284298TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1982142089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 GLENLEA DR",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541728",
            "telephone_number": "832-508-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035102",
            "telephone_number": "903-831-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 General Cavazos Blvd",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637245",
            "country_code": "US",
            "telephone_number": "361-592-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORTALEZA",
        "first_name": "NIGEL PAUL",
        "middle_name": "FILLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4257",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1284298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.