Victoria Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

655760000 Issued in TX

Legal business name

VICTORIA PHYSICAL THERAPY PC

Practice address

601 E San Antonio
Suite 301 W
Victoria, TX 77901

Phone

(361) 578-3513

Fax

(361) 578-4623

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Mary E Drost, PTNPI 1649245887

Title

President of Victoria P T PC

Phone

(361) 578-3513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PC Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Easley Drost, PT, DPT, CEEAA

  • Physical Therapist
  • Victoria, TX
  • NPI 1649245887
  Medicare reassignment NPD Authorized official
• Bryan J McAdams, PT, DPT, CSCS

  • Physical Therapist
  • Selma, TX
  • NPI 1902153547
  NPD
• Gatha Neva Wilson, P.T.

  • Physical Therapist
  • El Campo, TX
  • NPI 1720294895
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1194792812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO",
            "address_2": "SUITE 301 W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-578-3513",
            "fax_number": "361-578-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO",
            "address_2": "SUITE 301 W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-578-3513",
            "fax_number": "361-578-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "DROST",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF VICTORIA P T PC",
        "authorized_official_telephone_number": "361-578-3513",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "655760000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00T47Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victoria Orthopedic Center PLLC (Victoria Orthopedic Center)
• Victoria Orthopedic Center PLLC
• Victoria Orthopedic Surgery Associates
• Victoria Pain & Rehabilitation Center, PA
• Victoria Pediatrics & Adolescents Assoc.
• Victoria Physicians Solutions,LLC
• Victoria Prosthetics & Orthotics Inc (Texas Orthotics and Prosthetics)
• Victoria Psychiatric Associates, L.L.P.
• Victoria Radiology Associates
• Victoria Sleep Disorder Center, LP (Victoria Sleep Disorder Center)

• Physical Therapist in Victoria, TX
• Providers in Victoria, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.