Shelley Ann Bryars Covington
Individual provider Active NPI Physical Therapist · Seabrook, TX
NPI 1194291013 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1194291013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1179113 (TX)
- Practice address
- 917 Kirby Rd
Seabrook, TX 77586-4400 - Phone
- (832) 472-1167
- NPI assigned
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179113 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1179113 | TX | Yes |
Addresses
Primary practice location
917 Kirby Rd
Seabrook, TX 77586-4400
Mailing address
917 Kirby Rd
Seabrook, TX 77586-4400
Other providers in Seabrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.