Bosque River Physical Therapy & Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1150726 Issued in TX

Legal business name

BOSQUE RIVER PHYSICAL THERAPY & REHAB

Practice address

1200 Richland Dr
Suite G
Waco, TX 76710

Phone

(254) 772-0118

Fax

(254) 772-3883

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brent Lee Dunbar

Title

Physical Therapist

Phone

(254) 772-0118

Specialties & licenses 1

Addresses

Tax ID family

H2 Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• H2 Rehabilitation Services of Waco LP

  dba H2 Health

  • Physical Therapy Clinic/Center
  • Richardson, TX
  • NPI 1114942224
  NPD tax ID
• H2 Rehabilitation Services of Waco LP

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1659173607
  NPD tax ID

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114985280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RICHLAND DR",
            "address_2": "SUITE G",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76710",
            "telephone_number": "254-772-0118",
            "fax_number": "254-772-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RICHLAND DR",
            "address_2": "SUITE G",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76710",
            "telephone_number": "254-772-0118",
            "fax_number": "254-772-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSQUE RIVER PHYSICAL THERAPY & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "254-772-0118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1150726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathileen Riley Boozer, CFNP
• Bop Dental Specialists (Brazos Kids Dental)
• Jonathan Clay Borens, MSW
• Jill Borland, LPC, NCC
• Michael John Borucki, M.D.
• Bosque River Physical Therapy and Rehabilitation Limited Partnership
• Bosqueville Isd
• James W Boss, MD
• Linda M Bostwick, NP
• Nathalie Boulos, MD

• Physical Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.