Ignite Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IGNITE PHYSICAL THERAPY

Practice address

1805 Ruben Torres Blvd
Brownsville, TX 78526

Phone

(830) 513-4104

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Allen Warner, PTA,KTS

Title

Managing Therapist

Phone

(860) 912-6118

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1407346158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 RUBEN TORRES SR BLVD STE B5",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211113",
            "telephone_number": "830-513-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 RUBEN TORRES BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "830-513-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING THERAPIST",
        "authorized_official_telephone_number": "860-912-6118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA,KTS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730397928",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942731625",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan C Ibarra
• Julio Alberto Ibarra, LPC
• Karen Ivette Ibarra, LVN
• Ic Imaging of Brownsville LLC
• Icare Medical Transportation LLC
• Sandra Dabelema Iheme, PHARM D
• Henry L Imperial, M.D.
• Joanna Imperial, CNM
• In the Image
• Independent Anesthesia Group PLLC

• Physical Therapy Clinic/Center in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.