Active NPI
Brian Keith Pahlmann, PTA, ATC
- Physical Therapy Assistant
- Houston, TX
National Provider Identifier
1659349108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2058259
- Practice address
- 6360 W Sam Houston Pkwy N
Suite 200
Houston, TX 77041-5164 - Phone
- (713) 280-0400
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2058259 | TX | Primary |
| Physical Therapy Assistant | 225200000X | 2000172010 | MO | |
| Athletic Trainer | 2255A2300X | 2001007778 | MO | |
| Physical Therapy Assistant | 225200000X | IL |
Addresses
Primary practice location
6360 W Sam Houston Pkwy N
Suite 200
Houston, TX 77041-5164
Mailing address
2924 Whewell Ave
Quincy, IL 62301-3659
Phone (217) 223-3063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160003678 | IL | MD | Physical Therapy Assistant |
| 2000172010 | MO | MD | Physical Therapy Assistant |
| 2058259 | TX | MD | Physical Therapy Assistant |
| 2001007778 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1659349108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 WHEWELL AVE",
"city": "QUINCY",
"state": "IL",
"postal_code": "623013659",
"telephone_number": "217-223-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 W SAM HOUSTON PKWY N",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770415164",
"telephone_number": "713-280-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHLMANN",
"first_name": "BRIAN",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "PTA, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2058259",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2000172010",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2001007778",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.