Active NPI
Annette Gayle Tadlock, PT
- Physical Therapist
- Webster, TX
National Provider Identifier
1578042438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1050615
- Practice address
- 409 Greene St
Webster, TX 77598-6701 - Phone
- (281) 332-4738
- NPI assigned
- Aug 11, 2018
- Last updated
- Aug 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1050615 | TX | Primary |
Addresses
Primary practice location
409 Greene St
Webster, TX 77598-6701
Mailing address
7110 Holly Bay CT
Pasadena, TX 77505-6400
Phone (713) 705-2939
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1050615 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533945600000",
"number": "1578042438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7110 HOLLY BAY CT",
"city": "PASADENA",
"state": "TX",
"postal_code": "775056400",
"telephone_number": "713-705-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 GREENE ST",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775986701",
"telephone_number": "281-332-4738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADLOCK",
"first_name": "ANNETTE",
"middle_name": "GAYLE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-11",
"last_updated": "2018-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1050615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.