Organization Active NPI

Bulverde Rehabilitation & Wellness

Doing business as Bulverde Physical Therapy & Wellness Center

  • Physical Therapist
  • Spring Branch, TX
National Provider Identifier
1649316746
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BULVERDE REHABILITATION & WELLNESS
Doing business as
Bulverde Physical Therapy & Wellness Center
Practice address
21200 State Highway 46 W
Spring Branch, TX 78070-6793
Phone
(830) 980-4055
Fax
(830) 438-4085
NPI assigned
Jan 29, 2007
Last updated
Feb 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Darlene McGill
Title
Member
Phone
(830) 980-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

21200 State Highway 46 W
Spring Branch, TX 78070-6793

Mailing address

21200 State Highway 46 W
Spring Branch, TX 78070-6793
Phone (830) 980-4055

Other identifiers 1

IdentifierTypeStateIssuer
0036EFOtherTXBCBS GROUP NUMBER

Other names 1

  • Bulverde Physical Therapy & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

20475 State Highway 46 W
Ste 150
Spring Branch, TX 78070
Phone (830) 980-4055

21200 State Highway 46 W
Spring Branch, TX 78070
Phone (830) 980-4055

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1649316746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21200 STATE HIGHWAY 46 W",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706793",
            "telephone_number": "830-980-4055",
            "fax_number": "830-438-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 STATE HIGHWAY 46 W",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706793",
            "telephone_number": "830-980-4055",
            "fax_number": "830-438-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULVERDE REHABILITATION & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "830-980-4055"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0036EF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bulverde Physical Therapy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.