IndividualActive
Stephanie Gavina, PTA
NPI 1376383000 · Physical Therapy Assistant · Midland, TX
Provider details
- NPI number
- 1376383000
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4062991 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4409 W Wadley Ave
Midland, TX 79707-5328
Phone: (432) 617-3110
Street-level locationGet directions
Mailing address
5000 Hanover Dr
Odessa, TX 79761-2239
Additional practice locations (2)
- 5000 Hanover DrOdessa, TX 79761-2239Phone: (432) 550-4700
- 1365 W University BlvdOdessa, TX 79764-7121Phone: (432) 580-0011
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.