Nathan John Brewerton, LPT
Individual provider Active NPI Physical Therapist · Bastrop, TX
NPI 1710149232 · NPPES record last updated Jun 26, 2008
Key facts
- NPI
- 1710149232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1181012 (TX)
- Practice address
- 301 Highway 71 W
Suite 106
Bastrop, TX 78602-4105 - Phone
- (512) 321-9659
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garner & Riley Physical Therapy PC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1181012 | TX | Yes |
Addresses
Primary practice location
301 Highway 71 W
Suite 106
Bastrop, TX 78602-4105
Mailing address
301 Highway 71 W
Suite 106
Bastrop, TX 78602-4105
Phone (512) 321-9659
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.