NPIMap

Organization Active NPI

Texas Physical Therapy Specialists

  • Specialist
  • Georgetown, TX
National Provider Identifier
1467448522
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
620940000 Issued in TX
Legal business name
TEXAS PHYSICAL THERAPY SPECIALISTS
Practice address
204 S Ih 35
Suite 203
Georgetown, TX 78628-4162
Phone
(512) 863-7761
Fax
(512) 863-0973
NPI assigned
Sep 23, 2005
Last updated
Jun 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Mr. Shyla Burrell
Title
Credentialing Coordinator
Phone
(888) 590-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 620940000 TX Primary

Addresses

Primary practice location

204 S Ih 35
Suite 203
Georgetown, TX 78628-4162

Mailing address

204 S Ih 35
Suite 203
Georgetown, TX 78628-4162
Phone (512) 863-7761

National Provider Directory

National Provider Directory
Tax ID family
Texas Physical Therapy Specialists26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Practitioners & affiliated clinicians

Practitioners 8

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": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1467448522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S IH 35",
            "address_2": "SUITE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284162",
            "telephone_number": "512-863-7761",
            "fax_number": "512-863-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S IH 35",
            "address_2": "SUITE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284162",
            "telephone_number": "512-863-7761",
            "fax_number": "512-863-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PHYSICAL THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "SHYLA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "888-590-4002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "620940000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.