Mistie Lea McBride, DPT
Individual provider Active NPI Physical Therapist · Alpine, TX
NPI 1336852151 · NPPES record last updated Dec 27, 2022
Key facts
- NPI
- 1336852151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1076818 (TX)
- Practice address
- 2600 Hwy 118 North
Physical Therapy Dept
Alpine, TX 79830 - Phone
- (432) 837-0220
- Fax
- (432) 837-0295
- NPI assigned
- Dec 27, 2022
- 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 |
|---|---|---|---|
| 1076818 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1076818 | TX | Yes |
Addresses
Primary practice location
2600 Hwy 118 North
Physical Therapy Dept
Alpine, TX 79830
Mailing address
PO Box 1761
Alpine, TX 79831-1761
Phone (432) 413-3900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | na | Health Information Exchange (HIE) |
Other providers in Alpine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2022. 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.