Brazos Orthopedic Physical Therapy, P.C.

Organization Active NPI Physical Therapist · Bryan, TX

NPI 1336196831 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1336196831
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
1130268 (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
Organization subpart
No

Authorized official

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 1130268 TX Yes

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

Other identifiers

IdentifierTypeStateIssuer
86496TOtherTXBLUE CROSS/BLUE SHIELD

Other providers in Bryan, TX

All providers in Bryan, TX · Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.