At Home Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AT HOME PHYSICAL THERAPY PLLC

Practice address

836 E Reynosa Ave
De Leon, TX 76444-2029

Phone

(254) 734-5421

Fax

(254) 893-7955

NPI assigned

Feb 14, 2020

Organization subpart

No

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

Authorized official

Name

Casie Bellomy

Title

Office Manager

Phone

(254) 734-5421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1356974638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E REYNOSA AVE",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764442029",
            "telephone_number": "254-734-5421",
            "fax_number": "254-893-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E REYNOSA AVE",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764442029",
            "telephone_number": "254-734-5421",
            "fax_number": "254-893-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "BELLOMY",
        "authorized_official_first_name": "CASIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-734-5421"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford A Bettis, PT
• Sarah Briscoe-Awbrey, LMT
• Shanna Lynn Britt, DDS
• Tamantha Brooks
• Charles Shannon Childers, D.O.

• All providers in De Leon, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.