Organization Active NPI

Monarch Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Boerne, TX
National Provider Identifier
1740557651
Registry record updated Nov 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1115111 Issued in TX
Legal business name
MONARCH PHYSICAL THERAPY, LLC
Practice address
926 E Blanco Rd
Boerne, TX 78006-1710
Phone
(830) 431-0773
Fax
(830) 265-4053
NPI assigned
Nov 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2011

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

Authorized official

Name
Ms. Brenda Sue Bryson, PT
Title
Member Owner
Phone
(830) 431-0773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1115111 TX Primary

Addresses

Primary practice location

926 E Blanco Rd
Boerne, TX 78006-1710

Mailing address

926 E Blanco Rd
Boerne, TX 78006-1710
Phone (830) 431-0773

Other identifiers 1

IdentifierTypeStateIssuer
1871517714OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

926 E Blanco Rd
Boerne, TX 78006
Phone (830) 431-0773

28604 Interstate 10 W
Unit 4
Boerne, TX 78006
Phone (830) 431-0773

203 US Highway 87
Ste 208
Comfort, TX 78013
Phone (830) 995-3508

Practitioners & affiliated clinicians

Practitioners 2

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": "1321747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321747200000",
    "number": "1740557651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E BLANCO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061710",
            "telephone_number": "830-431-0773",
            "fax_number": "830-265-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E BLANCO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061710",
            "telephone_number": "830-431-0773",
            "fax_number": "830-265-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-20",
        "last_updated": "2011-11-20",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "830-431-0773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1115111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871517714",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2011; 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.