NPIMap

Organization Active NPI

Bangs Physical Therapy Center

  • Physical Therapist
  • Bangs, TX
National Provider Identifier
1144419409
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1176377 Issued in TX
Legal business name
BANGS PHYSICAL THERAPY CENTER
Practice address
807 E Hall St
Bangs, TX 76823-5400
Phone
(325) 752-6819
NPI assigned
Oct 23, 2007
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Lisa QuintanillaNPI 1760256663
Title
Clinic Administrator
Phone
(325) 752-6819

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 1176377 TX Primary

Addresses

Primary practice location

807 E Hall St
Bangs, TX 76823-5400

Mailing address

807 E Hall St
Bangs, TX 76823-5400
Phone (325) 752-6819

Other identifiers 1

IdentifierTypeStateIssuer
0088QAOtherBCBS

National Provider Directory

National Provider Directory

Locations

807 E Hall St
Bangs, TX 76823
Phone (325) 752-6819

Practitioners & affiliated clinicians

Practitioners 1

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1144419409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E HALL ST",
            "city": "BANGS",
            "state": "TX",
            "postal_code": "768235400",
            "telephone_number": "325-752-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E HALL ST",
            "city": "BANGS",
            "state": "TX",
            "postal_code": "768235400",
            "telephone_number": "325-752-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGS PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "325-752-6819"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1176377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0088QA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.