Individual provider Active NPI

Brett Alan Tice, PT

  • Physical Therapist
  • Harlingen, TX
National Provider Identifier
1780690024
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1115756 Issued in TX
Practice address
1801 N Ed Carey Dr Ste C
Harlingen, TX 78550-8281
Phone
(956) 428-8951
Fax
(956) 428-0232
NPI assigned
Jul 31, 2006
Last updated
Mar 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1115756 TX Primary

Addresses

Primary practice location

1801 N Ed Carey Dr Ste C
Harlingen, TX 78550-8281

Mailing address

PO Box 532127
Harlingen, TX 78553
Phone (956) 428-8951

Other identifiers 2

IdentifierTypeStateIssuer
087766401MedicaidTX
86657TOtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000701 TX Practitioner - Physical Therapist in Private Practice 1254320377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Action IncGroup PAC ID 3375532484, 6 clinicians
Eagle Pass Therapy Clinic PCGroup PAC ID 3072548155, 2 clinicians

Practice addresses (Care Compare)

1801 N Ed Carey Dr
Suite C
Harlingen, TX 78550-8281
Phone (956) 428-8951

2824 N Veterans Blvd
Suite C
Eagle Pass, TX 78852-6695
Phone (830) 757-2497

435 Paredes Line Rd a
Brownsville, TX 78521-2444
Phone (956) 621-0397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1115756TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Action Inc Physical Therapist CurrentSince Mar 1, 2002 Accepting new patients
Eagle Pass Therapy Clinic PC Physical Therapist CurrentSince Jul 6, 2005 Accepting new patients
Del Rio Therapy, P.C. Physical Therapist Past Accepting new patients
Del Rio Therapy, P.C. Physical Therapist Past Accepting new patients

Locations

435 Paredes Line Rd
#A
Brownsville, TX 78521
Phone (956) 544-4500

2824 N Veterans Blvd
#C
Eagle Pass, TX 78852
Phone (830) 757-2497

1801 N Ed Carey Dr
Ste C
Harlingen, TX 78550
Phone (956) 428-8951

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1780690024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532127",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78553",
            "telephone_number": "956-428-8951",
            "fax_number": "956-428-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N ED CAREY DR STE C",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508281",
            "telephone_number": "956-428-8951",
            "fax_number": "956-428-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1115756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087766401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86657T",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.