Christopher Ibarra, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2094562 Issued in TX

Practice address

1303 Highway 290 E
Brenham, TX 77833-5928

Phone

(979) 830-7100

Fax

(979) 830-0820

NPI assigned

May 8, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapeuticpros PLLC

  • Occupational Therapist
  • College Station, TX
  • NPI 1316561988
  NPD Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1265097968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CARNATION CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404048",
            "telephone_number": "903-707-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HIGHWAY 290 E",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335928",
            "telephone_number": "979-830-7100",
            "fax_number": "979-830-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "CHRISTOPHER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2094562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.optimahcs.com/",
            "affiliation": "Y",
            "endpointDescription": "EMR for documentation rehab",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR for documentation",
            "address_1": "1303 Highway 290 E",
            "city": "Brenham",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778335928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Min Hsi Hung, O.D.
• Tanya Lea Hupe, PTA
• Raymond Wayne Huskey, OPTICIAN
• Derek Lane Husmann, MD
• Rodney Ray Hutchinson, R.PH.
• Independence Anesthesia LLP
• Intuit Testing LLC
• Haley B Irby, PHARMD
• J Corona Investments LLC
• Shonta Renea Jackson, LPN

• Physical Therapy Assistant in Brenham, TX
• Providers in Brenham, 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 Nov 27, 2023; 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.