NPIMap

Organization Active NPI

Advance Therapy PC

  • Physical Therapist
  • Bryan, TX
National Provider Identifier
1629522818
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1236977 Issued in TX
Legal business name
ADVANCE THERAPY PC
Practice address
3700 Cross Park Dr
Bryan, TX 77802-4137
Phone
(979) 774-9958
NPI assigned
Aug 5, 2016
Last updated
Aug 5, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCE THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Kim Tompkins
Title
Office Manager
Phone
(979) 774-9958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1236977 TX Primary

Addresses

Primary practice location

3700 Cross Park Dr
Bryan, TX 77802-4137

Mailing address

3700 Cross Park Dr
Bryan, TX 77802-4137
Phone (979) 774-9958

Other identifiers 1

IdentifierTypeStateIssuer
1236977OtherTXSTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Advance Therapy2 organizations share this tax ID, including this one
Part of
Advance Therapy

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1629522818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CROSS PARK DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024137",
            "telephone_number": "979-774-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CROSS PARK DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024137",
            "telephone_number": "979-774-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE THERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCE THERAPY",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-774-9958"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1236977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1236977",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.