Organization Active NPI

Cole Pathways, LLC

  • Physical Therapist
  • Fredericksburg, TX
National Provider Identifier
1649864109
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COLE PATHWAYS, LLC
Practice address
167 Strackbein Dr
Fredericksburg, TX 78624-5929
Phone
(830) 217-2136
Fax
(832) 995-0346
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Mark Cole, PT
Title
Owner/Authorized Official
Phone
(830) 217-2136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

167 Strackbein Dr
Fredericksburg, TX 78624-5929

Mailing address

167 Strackbein Dr
Fredericksburg, TX 78624-5929
Phone (830) 217-2136

Other identifiers 1

IdentifierTypeStateIssuer
1050979OtherTXPT LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1649864109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 STRACKBEIN DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245929",
            "telephone_number": "830-217-2136",
            "fax_number": "832-995-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 STRACKBEIN DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245929",
            "telephone_number": "830-217-2136",
            "fax_number": "832-995-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "830-217-2136",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1050979",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.