Organization Active NPI

Disrupt Physiotherapy

  • Physical Therapy Clinic/Center
  • The Woodlands, TX
National Provider Identifier
1073138566
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Rachel Moore, DPTNPI 1508393547
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address rachel@disruptphysio.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.