Active NPI
Teresa Carla Ray, PT
- Physical Therapist
- Beeville, TX
National Provider Identifier
1598832297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1147015
- Practice address
- 1301 E Houston St
Beeville, TX 78102-5309 - Phone
- (361) 362-1700
- NPI assigned
- Nov 29, 2006
- 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 | 1147015 | TX | Primary |
Addresses
Primary practice location
1301 E Houston St
Beeville, TX 78102-5309
Mailing address
1301 E Houston St
Beeville, TX 78102-5309
Phone (361) 362-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T8073 | Other | TX | BLUE CROSS BLUE SHIELD |
| 1147015 | Other | TX | P.T. LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1147015 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Bend Spine & Sport, P.C. | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Beeville, TX
- NPI 1891841169
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210377600000",
"number": "1598832297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 E HOUSTON ST",
"city": "BEEVILLE",
"state": "TX",
"postal_code": "781025309",
"telephone_number": "361-362-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E HOUSTON ST",
"city": "BEEVILLE",
"state": "TX",
"postal_code": "781025309",
"telephone_number": "361-362-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "TERESA",
"middle_name": "CARLA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2008-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1147015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8T8073",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P.T. LICENSE",
"identifier": "1147015",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beeville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.