Christina Marie Avery
Individual provider Active NPI Physical Therapist · Seabrook, TX
NPI 1306325154 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1306325154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1229780 (TX)
- Practice address
- 2605 Seashore Dr
Seabrook, TX 77586-1593 - Phone
- (225) 571-7507
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1229780 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1229780 | TX | Yes |
Addresses
Primary practice location
2605 Seashore Dr
Seabrook, TX 77586-1593
Mailing address
2605 Seashore Dr
Seabrook, TX 77586-1593
Other providers in Seabrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.