Brendan Shaw Del Basso, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2150476 Issued in TX

Practice address

103 Davis Rd Ste M
League City, TX 77573-2769

Phone

(281) 338-6777

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Rehab League City

  dba Hope Rehab and Aquatic Therapy

  • Physical Therapy Clinic/Center
  • League City, TX
  • NPI 1821080938
  NPD

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1184254104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 SWAN MEADOW CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734345",
            "telephone_number": "281-898-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DAVIS RD STE M",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732769",
            "telephone_number": "281-338-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL BASSO",
        "first_name": "BRENDAN",
        "middle_name": "SHAW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2150476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Etc
• Rachel Louise Desonier, R.D.

• Physical Therapy Assistant in League City, TX
• Providers in League City, TX by specialty
• Physical Therapy Assistant in Texas

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