NPIMap

Organization Active NPI

Crossroads Physical Therapy Center

  • Physical Therapist
  • Victoria, TX
National Provider Identifier
1376827386
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1039311 Issued in TX
Legal business name
CROSSROADS PHYSICAL THERAPY CENTER
Practice address
1501 N Navarro St # C
Victoria, TX 77901-6027
Phone
(361) 572-9113
Fax
(361) 572-9195
NPI assigned
Oct 10, 2011
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mr. Bruce A Ryan, L.P.T.NPI 1689605172
Title
L.P.T./Owner
Phone
(361) 572-9113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1039311 TX Primary

Addresses

Primary practice location

1501 N Navarro St # C
Victoria, TX 77901-6027

Mailing address

1501 N Navarro St # C
Victoria, TX 77901-6027
Phone (361) 572-9113

National Provider Directory

National Provider Directory

Locations

1501 N Navarro St
Ste C
Victoria, TX 77901
Phone (361) 572-9113

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1376827386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N NAVARRO ST # C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016027",
            "telephone_number": "361-572-9113",
            "fax_number": "361-572-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N NAVARRO ST # C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016027",
            "telephone_number": "361-572-9113",
            "fax_number": "361-572-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "L.P.T./OWNER",
        "authorized_official_telephone_number": "361-572-9113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1039311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.