Individual provider Active NPI

Brenda Diann Hector-Reid, PT

  • Pediatric Physical Therapist
  • Texarkana, TX
National Provider Identifier
1124121736
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
630 Issued in AR
Practice address
1315 Walnut
Temple Memorial Rehab Ctr
Texarkana, TX 75501
Phone
(903) 794-2705
Fax
(903) 793-1203
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1041200 TX
Physical Therapist 225100000X 630 AR
Pediatric Physical Therapist 2251P0200X 1041200 TX
Pediatric Physical Therapist 2251P0200X 630 AR Primary

Addresses

Primary practice location

1315 Walnut
Temple Memorial Rehab Ctr
Texarkana, TX 75501

Mailing address

106 Melrose Dr
Texarkana, TX 75501-2721
Phone (903) 832-8946

Other identifiers 2

IdentifierTypeStateIssuer
80091TOtherTXBCBS
98947OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1041200TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Memorial Pediatric Center Inc. PastSince Jan 5, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124121736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MELROSE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012721",
            "telephone_number": "903-832-8946",
            "fax_number": "903-793-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT",
            "address_2": "TEMPLE MEMORIAL REHAB CTR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75501",
            "telephone_number": "903-794-2705",
            "fax_number": "903-793-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECTOR-REID",
        "first_name": "BRENDA",
        "middle_name": "DIANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1041200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "630",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1041200",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80091T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98947",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.