Jacob Nathaniel Brindle, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1208178 Issued in TX

Practice address

5016 W Waco Dr
Waco, TX 76710-7022

Phone

(254) 301-7374

Fax

(800) 862-5429

NPI assigned

Dec 14, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Heart of Texas Physical Therapy PLLC

  • Physical Therapist
  • Waco, TX
  • NPI 1982063863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1649635871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107022",
            "telephone_number": "254-301-7374",
            "fax_number": "800-862-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107022",
            "telephone_number": "254-301-7374",
            "fax_number": "800-862-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDLE",
        "first_name": "JACOB",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-14",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1208178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent L Kutach DO PA
• Bret H Miller MD PA Orthopaedic and Sports Medicine Specialists of Wac
• Jacquelyn Joy Brewer, PA-C
• Wanda Sue Bricker
• Stacy Shook Brignac, LCSW
• Lindsey Brindle, PT, DPT
• Lisa Brink
• Kimberly Brinkley
• Joann Bristol, LCSW
• Britkare Home Medical of Texas, LTD.

• Physical Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.