NPIMap

Organization Active NPI

Phytex Rehabilitation, LLC

Doing business as PhyTEx Big Bend

  • Physical Therapist
  • Alpine, TX
National Provider Identifier
1285904334
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYTEX REHABILITATION, LLC
Doing business as
PhyTEx Big Bend
Practice address
1901 W Highway 90
Alpine, TX 79830-3311
Phone
(432) 837-5918
Fax
(432) 837-9937
NPI assigned
Jan 6, 2012
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
James CarlsonNPI 1003837584
Title
Administrator
Phone
(432) 550-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1901 W Highway 90
Alpine, TX 79830-3311

Mailing address

1901 W Highway 90
Alpine, TX 79830-3311
Phone (432) 837-5918

Other names 1

  • PhyTEx Big Bend Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000181 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012016959 Receives reassigned benefits from 12 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Odessa, TX; Pampa, TX; Midland, TX; Alpine, TX

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Extra - Pampa5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1901 W Highway 90
Alpine, TX 79830
Phone (432) 837-5918

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1285904334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HIGHWAY 90",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798303311",
            "telephone_number": "432-837-5918",
            "fax_number": "432-837-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HIGHWAY 90",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798303311",
            "telephone_number": "432-837-5918",
            "fax_number": "432-837-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYTEX REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-550-4700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhyTEx Big Bend",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PhyTEx Big Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.