Active NPI
Terri R Brenner, PT
- Physical Therapist
- Houston, TX
National Provider Identifier
1053509117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1096352
- Practice address
- 6109 Maple St
Houston, TX 77074-7449 - Phone
- (713) 668-6690
- NPI assigned
- Oct 13, 2007
- Last updated
- Oct 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1096352 | TX | Primary |
Addresses
Primary practice location
6109 Maple St
Houston, TX 77074-7449
Mailing address
25814 Timber Lakes Dr
Spring, TX 77380-1277
Phone (281) 300-2458
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1096352 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KDT, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192233600000",
"number": "1053509117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25814 TIMBER LAKES DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773801277",
"telephone_number": "281-300-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6109 MAPLE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770747449",
"telephone_number": "713-668-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "TERRI",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-13",
"last_updated": "2007-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1096352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.