Individual provider Active NPI

Hayley Deshon Thomas, PTA

  • Physical Therapist
  • Bryan, TX
National Provider Identifier
1255005641
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2163592 Issued in TX
Practice address
3700 Cross Park Dr
Bryan, TX 77802-4137
Phone
(979) 774-9958
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2163592 TX Primary

Addresses

Primary practice location

3700 Cross Park Dr
Bryan, TX 77802-4137

Mailing address

1211 University Oaks Blvd
College Station, TX 77840-3647
Phone (903) 292-7834

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
2163592TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Therapy PC Physical Therapist CurrentSince Aug 15, 2021 Accepting new patients
Advance Therapy PC Physical Therapist PastSince Aug 15, 2021 Accepting new patients

Locations

3700 Cross Park Dr
Bryan, TX 77802
Phone (979) 774-9958

Organizations & group practices 2

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1255005641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNIVERSITY OAKS BLVD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403647",
            "telephone_number": "903-292-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CROSS PARK DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024137",
            "telephone_number": "979-774-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HAYLEY",
        "middle_name": "DESHON",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "2163592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.