Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
VISTA REHABILITATION OF MESQUITE, LLP
Active
Organization
VISTA REHABILITATION OF MESQUITE, LLP
Active
Other names
Vista Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG RETTKE (PARTNER)
(972) 529-3691
Entity
Organization
Contact information
Practice address
2758 N GALLOWAY AVE, SUITE 100, MESQUITE, TX 75150-6380
(972) 681-1155
(972) 681-3575
Mailing address
2758 N GALLOWAY AVE, SUITE 100, MESQUITE, TX 75150-6380
(972) 681-1155
(972) 681-3575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
656520000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022JB
BCBS
TX
Enumeration date
10/04/2005
Last updated
04/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up