Active NPI
Disrupt Physiotherapy
- Physical Therapy Clinic/Center
- The Woodlands, TX
National Provider Identifier
1073138566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- DISRUPT PHYSIOTHERAPY
- Practice address
- 4200 Research Forest Dr Ste 220
The Woodlands, TX 77381-4364 - Phone
- (832) 458-1083
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Moore, DPT
- Title
- Owner
- Phone
- (713) 493-1475
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4200 Research Forest Dr Ste 220
The Woodlands, TX 77381-4364
Mailing address
1618 Andrew Chase LN
Spring, TX 77386-3632
Phone (713) 493-1475
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rachel@disruptphysio.com |
National Provider Directory
National Provider DirectoryLocations
4200 Research Forest Dr
Ste 220
The Woodlands, TX 77381
Phone (832) 458-1083
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Denton, TX
- NPI 1508393547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1073138566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 ANDREW CHASE LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773863632",
"telephone_number": "713-493-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 RESEARCH FOREST DR STE 220",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773814364",
"telephone_number": "832-458-1083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISRUPT PHYSIOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-493-1475",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rachel@disruptphysio.com",
"affiliation": "N",
"address_1": "2226 Caroline Park Ln",
"city": "Spring",
"state": "TX",
"country_code": "US",
"postal_code": "773861826",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.