Organization Active NPI

College Station Physical Therapy and Performance, PLLC

  • Physical Therapy Clinic/Center
  • Bryan, TX
National Provider Identifier
1710450077
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COLLEGE STATION PHYSICAL THERAPY AND PERFORMANCE, PLLC
Practice address
3201 University Dr E Ste 320
Bryan, TX 77802-3478
Phone
(979) 353-2492
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Brian Watts, DPTNPI 1205132701
Title
Owner/Physical Therapist
Phone
(979) 353-2492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3201 University Dr E Ste 320
Bryan, TX 77802-3478

Mailing address

3201 University Dr E Ste 320
Bryan, TX 77802-3478
Phone (979) 353-2492

Other practice location 1

910 William D Fitch Pkwy Ste 200
College Station, TX 77845-6452
Phone (979) 353-2492

National Provider Directory

National Provider Directory

Locations

910 William D Fitch Pkwy
Ste 200
College Station, TX 77845
Phone (979) 353-2492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1710450077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 320",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023478",
            "telephone_number": "979-353-2492",
            "fax_number": "979-776-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 320",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023478",
            "telephone_number": "979-353-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 William D Fitch Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778456452",
            "country_code": "US",
            "telephone_number": "979-353-2492",
            "fax_number": "979-859-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLEGE STATION PHYSICAL THERAPY AND PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "979-353-2492",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 Jan 9, 2019; 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.