Organization Active NPI

Rehab and Physical Therapy Specialists of BMT

  • Physical Therapist
  • Beaumont, TX
National Provider Identifier
1023288693
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1136091 Issued in TX
Legal business name
REHAB AND PHYSICAL THERAPY SPECIALISTS OF BMT
Practice address
4374 Dowlen Road
Beaumont, TX 77706
Phone
(409) 899-5900
Fax
(409) 899-5901
NPI assigned
Mar 10, 2008
Organization subpart
Yes
Parent organization
REHAB AND PHYSICAL THERAPY SPECIALISTS OF BMTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Gerald L Williams, PTNPI 1417939869
Title
Director
Phone
(409) 899-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1136091 TX Primary

Addresses

Primary practice location

4374 Dowlen Road
Beaumont, TX 77706

Mailing address

4374 Dowlen Road
Beaumont, TX 77706
Phone (409) 899-5900

Other names 1

  • Williams West End Rehab Doing business as

National Provider Directory

National Provider Directory
Part of
Rehab and Physical Therapy

Locations

4374 Dowlen Rd
Beaumont, TX 77706
Phone (409) 892-3130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1023288693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 DOWLEN ROAD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-899-5900",
            "fax_number": "409-899-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 DOWLEN ROAD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-899-5900",
            "fax_number": "409-899-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB AND PHYSICAL THERAPY SPECIALISTS OF BMT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHAB AND PHYSICAL THERAPY SPECIALISTS OF BMT",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-899-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1136091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams West End Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.