NPIMap

Organization Active NPI

Mint Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1164967071
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MINT PHYSICAL THERAPY, LLC
Practice address
1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130-6045
Phone
(830) 358-1151
Fax
(830) 626-3422
NPI assigned
Jan 1, 2017
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Benjamin Graves, PTNPI 1770941221
Title
Partner
Phone
(830) 358-1151

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130-6045

Mailing address

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130-6045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170210000323 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618250952 Receives reassigned benefits from 13 practitioners
Practice locations: New Braunfels, TX; Spring Branch, TX

National Provider Directory

National Provider Directory

Locations

1551 N Walnut Ave
#47
New Braunfels, TX 78130
Phone (830) 358-1151

1551 N Walnut Ave
Ste 1
New Braunfels, TX 78130
Phone (830) 422-3526

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130
Phone (830) 358-1151

19851 Highway 46 W
Ste 107
Spring Branch, TX 78070
Phone (830) 358-1151

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1164967071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE",
            "address_2": "STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE",
            "address_2": "STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045",
            "telephone_number": "830-358-1151",
            "fax_number": "830-626-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-01",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "830-358-1151",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.