Advance Therapy PC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Bryan, TX
NPI 1710187737 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1710187737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 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
- Organization subpart
- No
Authorized official
- Name
- Kim Tompkins
- Title
- Director of Office Operations
- Phone
- (979) 774-9958
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 34
-
Jaclyn Glasgow, OTD/OTR
-
Jeffrey Jisung Kim, PT DPT
-
Alpakumari Patel, PT
-
Rohan Oza, PT
-
Denil J Patel, P.T
-
Behiye Elci, PT
-
Kelsey Ann Maki, PT, DPT
-
Michaela Patterson, PT, DPT
-
Taylor Sparks, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Advance Therapy PC
Locations
415 W Wheatland Rd
#102
Duncanville, TX 75116
Phone (972) 296-1808
9638 Huffmeister Rd
Ste C
Houston, TX 77095
Phone (713) 814-9076
9638 Huffmeister Rd
#A
Houston, TX 77095
Phone (281) 214-2121
1110 Cottonwood Ln
Ste 100
Irving, TX 75038
Phone (972) 943-9779
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
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
Other providers in Bryan, TX
- Dalton Adams
- Rae Ann Adams
- Sjoerd Adams
- Michel Adeniran
- Advance Therapy PC
- Advanced Health Chiropractic
- Aevia Health & Wellness PLLC
- Aggieland ADHD Center
- Aggieland Pharmacy LLC
- Jana Aguilar
All providers in Bryan, TX · Physical Medicine & Rehabilitation Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.