Colten Bryce Gardner, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1390169 Issued in TX

Practice address

7005 Woodway Dr Ste 101
Woodway, TX 76712-6160

Phone

(254) 224-8062

Fax

(254) 224-6385

NPI assigned

Feb 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blasick Orthopedics, PLLCGroup PAC ID 9133553308, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20646/brand/1/csg/1/fhir/r4
• Direct secure messaging: colten.gardner.1@20646.direct.athenahealth.com

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.

• Blasick Orthopedics, PLLC

  • Orthopaedic Surgery Physician
  • Woodway, TX
  • NPI 1992349823
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1003671090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 WOODWAY DR STE 101",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126160",
            "telephone_number": "254-224-8062",
            "fax_number": "254-224-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 WOODWAY DR STE 101",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126160",
            "telephone_number": "254-224-8062",
            "fax_number": "254-224-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "COLTEN",
        "middle_name": "BRYCE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1390169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiney Friess
• Siblimity Faith Gaither
• Najala Jasenia Galindo, ETC.
• Hildie N. Gamez, PHARMACY TECHNICIAN
• Marihely Garcia Rodriguez
• Brittany Nicole Garza
• George R. Walters, M.D., P.a.
• Sharon George
• Elizabeth Michelle Glenn
• Katie Glomb

• Physical Therapist in Woodway, TX
• Providers in Woodway, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.