Active NPI
Braylon Terrell Warrior, PT, DPT
- Physical Therapist
- Bastrop, TX
National Provider Identifier
1073344826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 747 Frontage Rd
Suite B-200
Bastrop, TX 78602 - Phone
- (512) 920-6512
- NPI assigned
- Aug 13, 2024
- Reactivated
- Aug 20, 2024
- Last updated
- Aug 23, 2024
- Sex
- Male
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
747 Frontage Rd
Suite B-200
Bastrop, TX 78602
Mailing address
413181 E 1080 Rd
Checotah, OK 74426-5029
Phone (918) 926-0578
Other practice location 1
905 North Key Ave
Lampasas, TX 76550
Phone (512) 564-1081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21806 103Rd Ave CT E
Suite 103
Graham, WA 98338-8115
Phone (253) 847-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1073344826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413181 E 1080 RD",
"city": "CHECOTAH",
"state": "OK",
"postal_code": "744265029",
"telephone_number": "918-926-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 FRONTAGE RD",
"address_2": "SUITE B-200",
"city": "BASTROP",
"state": "TX",
"postal_code": "78602",
"telephone_number": "512-920-6512"
}
],
"practiceLocations": [
{
"address_1": "905 North Key Ave",
"address_purpose": "LOCATION",
"city": "Lampasas",
"state": "TX",
"postal_code": "76550",
"country_code": "US",
"telephone_number": "512-564-1081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARRIOR",
"first_name": "BRAYLON",
"middle_name": "TERRELL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-23",
"certification_date": "2024-08-20",
"deactivation_date": "2024-08-13",
"reactivation_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.