Individual provider Active NPI

Andrew O Hyde, DPT

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1265753628
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3109080 TEMP Issued in TX
Practice address
2840 Commercial Center Blvd
Suite 103
Katy, TX 77494-6411
Phone
(281) 693-1063
Fax
(281) 693-1081
NPI assigned
Jun 18, 2010
Last updated
Jun 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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 3109080 TEMP TX Primary

Addresses

Primary practice location

2840 Commercial Center Blvd
Suite 103
Katy, TX 77494-6411

Mailing address

2840 Commercial Center Blvd
Suite 103
Katy, TX 77494-6411
Phone (281) 693-1063

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3109080 TEMPTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Therapy Centers Limited Partnership Physical Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1265753628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 COMMERCIAL CENTER BLVD",
            "address_2": "SUITE 103",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946411",
            "telephone_number": "281-693-1063",
            "fax_number": "281-693-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 COMMERCIAL CENTER BLVD",
            "address_2": "SUITE 103",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946411",
            "telephone_number": "281-693-1063",
            "fax_number": "281-693-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "ANDREW",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3109080 TEMP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.