Organization Active NPI

Terry Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Mission, TX
National Provider Identifier
1619058534
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6294400 Issued in TX
Legal business name
TERRY PHYSICAL THERAPY PC
Practice address
1918 E Griffin Pkwy
Mission, TX 78572-3106
Phone
(956) 583-2995
Fax
(956) 583-3595
NPI assigned
Oct 18, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Onuwa D Terry, LPT,DPTNPI 1760563605
Title
Owner
Phone
(956) 583-2995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6294400 TX Primary

Addresses

Primary practice location

1918 E Griffin Pkwy
Mission, TX 78572-3106

Mailing address

1616 E Griffin Pkwy PMB 184
Mission, TX 78572-3180
Phone (956) 583-2995

Other practice location 1

101 Buenavista St
Penitas, TX 78576-2246
Phone (956) 766-7133

Other identifiers 3

IdentifierTypeStateIssuer
087750801MedicaidTX
3148637-01MedicaidTX
3148652-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100707000068 TX Part B Supplier - Clinic/Group Practice 7012048192 Receives reassigned benefits from 2 practitioners
Practice locations: Mission, TX; Penitas, TX

National Provider Directory

National Provider Directory

Locations

1918 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-2995

101 Buena Vista St
Penitas, TX 78576
Phone (956) 766-7133

101 Buena Vista St
Ste A
Penitas, TX 78576
Phone (956) 766-7133

Practitioners & affiliated clinicians

Practitioners 3

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1619058534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E GRIFFIN PKWY PMB 184",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723180",
            "telephone_number": "956-583-2995",
            "fax_number": "956-583-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723106",
            "telephone_number": "956-583-2995",
            "fax_number": "956-583-3595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Buenavista St",
            "address_purpose": "LOCATION",
            "city": "Penitas",
            "state": "TX",
            "postal_code": "785762246",
            "country_code": "US",
            "telephone_number": "956-766-7133",
            "fax_number": "956-583-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERRY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "ONUWA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-583-2995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT,DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "6294400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087750801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148637-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148652-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.