NPIMap

Individual provider Active NPI

Jay Mynar, PTA

  • Physical Therapy Assistant
  • Sugar Land, TX
National Provider Identifier
1225310311
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2047066 Issued in TX
Practice address
15591 Creek Bend Dr
Suite 200
Sugar Land, TX 77478-3381
Phone
(281) 277-0751
Fax
(281) 277-0761
NPI assigned
Sep 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2047066 TX Primary

Addresses

Primary practice location

15591 Creek Bend Dr
Suite 200
Sugar Land, TX 77478-3381

Mailing address

15591 Creek Bend Dr
Suite 200
Sugar Land, TX 77478-3381
Phone (281) 277-0751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2047066TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Horry Center for Sports and Physical Rehabilitation, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1225310311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15591 CREEK BEND DR",
            "address_2": "SUITE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783381",
            "telephone_number": "281-277-0751",
            "fax_number": "281-277-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15591 CREEK BEND DR",
            "address_2": "SUITE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783381",
            "telephone_number": "281-277-0751",
            "fax_number": "281-277-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNAR",
        "first_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2047066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.