Organization Active NPI

New Stride Physical Therapy & Rehabilitation

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1366404394
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
656670000 Issued in TX
Legal business name
NEW STRIDE PHYSICAL THERAPY & REHABILITATION
Practice address
14302 Nemo Court
Corpus Christi, TX 78418
Phone
(361) 949-9898
Fax
(361) 949-9897
NPI assigned
Apr 5, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Eric McCloskey
Title
Coo
Phone
(361) 949-9898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 656670000 TX Primary
Occupational Therapist 225X00000X 553220000 TX

Addresses

Primary practice location

14302 Nemo Court
Corpus Christi, TX 78418

Mailing address

PO Box 60037
Corpus Christi, TX 78466-0037
Phone (361) 949-9898

Other identifiers 3

IdentifierTypeStateIssuer
607708900OtherTXDEPT OF LABOR
176266801MedicaidTX
0020MJOtherTXBCBS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000853 TX Part B Supplier - Clinic/Group Practice 8527005354 Receives reassigned benefits from 4 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

14302 Nemo Ct
Corpus Christi, TX 78418
Phone (361) 949-9898

3229 S Alameda St
Corpus Christi, TX 78404
Phone (361) 814-4800

3747 S Alameda St
Corpus Christi, TX 78411
Phone (361) 814-9898

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1366404394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60037",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784660037",
            "telephone_number": "361-949-9898",
            "fax_number": "361-949-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 NEMO COURT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78418",
            "telephone_number": "361-949-9898",
            "fax_number": "361-949-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW STRIDE PHYSICAL THERAPY & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "361-949-9898"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "656670000",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "553220000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "607708900",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176266801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0020MJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.