Organization Active NPI

Alan C. Thorell

Doing business as Montgomery Physical Therapy

  • Physical Therapist
  • Montgomery, TX
National Provider Identifier
1083761530
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1053957 Issued in TX
Legal business name
ALAN C. THORELL
Doing business as
Montgomery Physical Therapy
Practice address
20873 Eva St Ste C
Montgomery, TX 77356-1975
Phone
(936) 597-5323
Fax
(936) 597-8914
NPI assigned
Jan 5, 2007
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mr. Alan Carl Thorell, P.T.NPI 1891895165
Title
Owner
Phone
(936) 597-5323

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 Therapist 225100000X 1053957 TX Primary

Addresses

Primary practice location

20873 Eva St Ste C
Montgomery, TX 77356-1975

Mailing address

20873 Eva St Ste C
Montgomery, TX 77356-1975
Phone (936) 597-5323

Other names 1

  • Montgomery Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427000714 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264471457 Receives reassigned benefits from 7 practitioners
Practice locations: Montgomery, TX

National Provider Directory

National Provider Directory

Locations

1501 River Pointe Dr
Ste 130
Conroe, TX 77304
Phone (936) 597-5323

392 C Eva St
Montgomery, TX 77356
Phone (936) 597-5323

873 Eva St
Montgomery, TX 77356
Phone (936) 597-5323

873 Eva St
#C
Montgomery, TX 77356
Phone (936) 597-5323

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1083761530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20873 EVA ST STE C",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561975",
            "telephone_number": "936-597-5323",
            "fax_number": "936-597-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20873 EVA ST STE C",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561975",
            "telephone_number": "936-597-5323",
            "fax_number": "936-597-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN C. THORELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "THORELL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-597-5323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1053957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.