NPIMap

Organization Active NPI

Physical Therapy Associates

  • Specialist
  • Huntsville, TX
National Provider Identifier
1659547107
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
640210000 Issued in TX
Legal business name
PHYSICAL THERAPY ASSOCIATES
Practice address
127 Medical Park LN
Huntsville, TX 77340-4972
Phone
(936) 294-0283
Fax
(936) 294-9878
NPI assigned
May 5, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Diane L Williams
Title
Office Manager
Phone
(936) 294-0283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 640210000 TX Primary

Addresses

Primary practice location

127 Medical Park LN
Huntsville, TX 77340-4972

Mailing address

127 Medical Park LN
Huntsville, TX 77340-4972
Phone (936) 294-0283

Other identifiers 1

IdentifierTypeStateIssuer
85643TOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

127 Medical Park Ln
Huntsville, TX 77340
Phone (936) 294-0283

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1659547107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404972",
            "telephone_number": "936-294-0283",
            "fax_number": "936-294-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404972",
            "telephone_number": "936-294-0283",
            "fax_number": "936-294-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-294-0283"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "640210000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85643T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.