NPIMap

Organization Active NPI

BCM Innovative Therapies

  • Early Intervention Provider Agency
  • Corsicana, TX
National Provider Identifier
1053715664
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1249341 Issued in TX
Legal business name
BCM INNOVATIVE THERAPIES
Practice address
3728 S Hwy 287
Corsicana, TX 75109-8960
Phone
(903) 874-6315
NPI assigned
Oct 13, 2014
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Samantha Moyer, DPT
Title
Physical Therapist
Phone
(610) 737-2524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1249341 TX Primary

Addresses

Primary practice location

3728 S Hwy 287
Corsicana, TX 75109-8960

Mailing address

3728 S Hwy 287
Corsicana, TX 75109-8960

National Provider Directory

National Provider Directory
Tax ID family
BCM Innovative Therapies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1053715664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 S HWY 287",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751098960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 S HWY 287",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751098960",
            "telephone_number": "903-874-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCM INNOVATIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "610-737-2524",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "TX",
            "license": "1249341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.