Organization Active NPI

Physical Therapy Care of Fort Bend

  • Specialist
  • Richmond, TX
National Provider Identifier
1467824086
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1261205 Issued in TX
Legal business name
PHYSICAL THERAPY CARE OF FORT BEND
Practice address
1500 Jackson St
400
Richmond, TX 77469-3668
Phone
(281) 344-8900
Fax
(281) 344-8926
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Karen A Linn
Title
Credentialing
Phone
(381) 347-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1261205 TX Primary

Addresses

Primary practice location

1500 Jackson St
400
Richmond, TX 77469-3668

Mailing address

1500 Jackson St
400
Richmond, TX 77469-3668
Phone (281) 344-8900

Other identifiers 1

IdentifierTypeStateIssuer
179385301MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1467824086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 JACKSON ST",
            "address_2": "400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693668",
            "telephone_number": "281-344-8900",
            "fax_number": "281-344-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JACKSON ST",
            "address_2": "400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693668",
            "telephone_number": "281-344-8900",
            "fax_number": "281-344-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CARE OF FORT BEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "LINN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "381-347-8900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "1261205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179385301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.