Organization Active NPI

Advance Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Bryan, TX
National Provider Identifier
1710187737
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ADVANCE THERAPY PC
Practice address
3700 Cross Park Dr
Bryan, TX 77802-4137
Phone
(979) 774-9958
Fax
(979) 774-9978
NPI assigned
Jul 18, 2007
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Kim Tompkins
Title
Director of Office Operations
Phone
(979) 774-9958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3700 Cross Park Dr
Bryan, TX 77802-4137

Mailing address

3700 Cross Park Dr
Bryan, TX 77802-4137
Phone (979) 774-9958

Other practice location 1

18502 West Belort Suite 118
Richmond, TX 77407
Phone (979) 774-9958

Other practice location 2

415 W Wheatland Rd # 102
Duncanville, TX 75116-4619
Phone (972) 296-1808

Other practice location 3

15119 Wallisville Rd Ste 100
Houston, TX 77049-4629
Phone (979) 774-9958

Other practice location 4

3634 Glenn Lakes Ln Ste 130
Missouri City, TX 77459-3695
Phone (713) 518-1805

Other practice location 5

1690 W Baker Rd Ste A
Baytown, TX 77521-2416
Phone (281) 214-2565

Other practice location 6

9638 Huffmeister Rd Ste A
Houston, TX 77095-2895
Phone (281) 404-5331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000743 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507831773 Receives reassigned benefits from 21 practitioners
Practice locations: Sugar Land, TX; Richmond, TX; Missouri City, TX; Irving, TX; Houston, TX; Duncanville, TX; Bryan, TX; Baytown, TX

National Provider Directory

National Provider Directory
Tax ID family
Advance Therapy2 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

3700 Cross Park Dr
Bryan, TX 77802
Phone (979) 774-9958

415 W Wheatland Rd
#102
Duncanville, TX 75116
Phone (972) 296-1808

15119 Wallisville Rd
Ste 100
Houston, TX 77049
Phone (832) 626-3366

9638 Huffmeister Rd
Ste C
Houston, TX 77095
Phone (713) 814-9076

3634 Glenn Lakes Ln
Ste 130
Missouri City, TX 77459
Phone (713) 518-1805

18502 W Bellfort St
Ste 118
Richmond, TX 77407
Phone (248) 403-1730

16701 Creek Bend Dr
Ste 100
Sugar Land, TX 77478
Phone (248) 403-1730

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1710187737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CROSS PARK DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024137",
            "telephone_number": "979-774-9958",
            "fax_number": "979-774-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CROSS PARK DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024137",
            "telephone_number": "979-774-9958",
            "fax_number": "979-774-9978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18502 WEST BELORT SUITE 118",
            "address_purpose": "LOCATION",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "country_code": "US",
            "telephone_number": "979-774-9958",
            "fax_number": "979-774-9978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 W Wheatland Rd # 102",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164619",
            "country_code": "US",
            "telephone_number": "972-296-1808",
            "fax_number": "972-296-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15119 Wallisville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770494629",
            "country_code": "US",
            "telephone_number": "979-774-9958",
            "fax_number": "979-774-9978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3634 Glenn Lakes Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774593695",
            "country_code": "US",
            "telephone_number": "713-518-1805",
            "fax_number": "713-814-9076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 W Baker Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775212416",
            "country_code": "US",
            "telephone_number": "281-214-2565",
            "fax_number": "713-814-9076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9638 Huffmeister Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770952895",
            "country_code": "US",
            "telephone_number": "281-404-5331",
            "fax_number": "713-814-9076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR OF OFFICE OPERATIONS",
        "authorized_official_telephone_number": "979-774-9958"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.