Individual provider Active NPI

Jay Brahmbhatt, PT

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1477373348
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1399674 Issued in TX
Practice address
411 Park Grove Dr Ste 720
Katy, TX 77450-1577
Phone
(832) 586-4201
NPI assigned
Oct 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1399674 TX Primary

Addresses

Primary practice location

411 Park Grove Dr Ste 720
Katy, TX 77450-1577

Mailing address

15591 Creek Bend Dr Ste 201
Sugar Land, TX 77478-4657
Phone (832) 532-0144

Other practice location 1

15591 Creek Bend Dr Ste 201
Sugar Land, TX 77478-4657
Phone (832) 532-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1399674TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Polygon HQ LLC Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients

Locations

411 Park Grove Dr
Ste 720
Katy, TX 77450
Phone (713) 997-9613

15591 Creek Bend Dr
Ste 201
Sugar Land, TX 77478
Phone (346) 551-0738

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1477373348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15591 CREEK BEND DR STE 201",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784657",
            "telephone_number": "832-532-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE DR STE 720",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501577",
            "telephone_number": "832-586-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15591 Creek Bend Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784657",
            "country_code": "US",
            "telephone_number": "832-532-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "JAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1399674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.