NPIMap

Organization Active NPI

Brazos Orthopedic Physical Therapy, P.C.

  • Physical Therapist
  • Bryan, TX
National Provider Identifier
1336196831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1130268 Issued in TX
Legal business name
BRAZOS ORTHOPEDIC PHYSICAL THERAPY, P.C.
Practice address
2701 E 29TH St
Bryan, TX 77802-2504
Phone
(979) 776-0247
Fax
(979) 774-9515
NPI assigned
May 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Timothy Ward, P.T.
Title
President/Physical Therapist
Phone
(979) 776-0247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1130268 TX Primary

Addresses

Primary practice location

2701 E 29TH St
Bryan, TX 77802-2504

Mailing address

2701 E 29TH St
Bryan, TX 77802-2504
Phone (979) 776-0247

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336196831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022504",
            "telephone_number": "979-776-0247",
            "fax_number": "979-774-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022504",
            "telephone_number": "979-776-0247",
            "fax_number": "979-774-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS ORTHOPEDIC PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "979-776-0247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1130268",
            "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 22, 2020; 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.