Mistie Lea McBride, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1076818 Issued in 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

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1336852151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1761",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798311761",
            "telephone_number": "432-413-3900",
            "fax_number": "432-386-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HWY 118 NORTH",
            "address_2": "PHYSICAL THERAPY DEPT",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "79830",
            "telephone_number": "432-837-0220",
            "fax_number": "432-837-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "MISTIE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1076818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "2600 Hwy 118 North",
            "address_2": "Physical Therapy Dept",
            "city": "Alpine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Amber Gayle McMullan, MPT
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• Missionary Baptist Foundation of America, Inc (Alpine Valley Care Center)

• Physical Therapist in Alpine, TX
• Providers in Alpine, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.