Brain and Body Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BRAIN AND BODY PHYSICAL THERAPY PC

Practice address

1101 Arrow Point Dr
Cedar Park, TX 78613-7737

Phone

(646) 436-8480

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Mohamed KhallafNPI 1174068720

Title

Ceo

Phone

(646) 436-8480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed Khallaf

  • Physical Therapist
  • Ridgewood, NY
  • NPI 1174068720

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1083480529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 JULIANAS WAY",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137182",
            "telephone_number": "646-436-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ARROW POINT DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137737",
            "telephone_number": "646-436-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AND BODY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "KHALLAF",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-436-8480"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Tankersley Botter, LPC
• Virginia Bougher, O.D.
• Crystal Melanie Bowden-McKay, M.D.
• Kimberly Box
• Gushyalatha Boya, MD
• John William Branch, M.D.
• Vanessa K Brandt, M.A., LPC, LCDC-I
• Breathe ENT
• Hope Elena Brents
• Tallulah Rachel Breslin, SLP

• Physical Therapist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.