NPIMap

Organization Active NPI

Wayne C Dodd

Doing business as Isla Physical Therapy

  • Physical Therapist
  • Brownsville, TX
National Provider Identifier
1790995892
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1064996 Issued in TX
Legal business name
WAYNE C DODD
Doing business as
Isla Physical Therapy
Practice address
495 Amelia Earhart Ste B
Brownsville, TX 78521
Phone
(956) 546-7777
Fax
(956) 546-8899
NPI assigned
May 23, 2007
Last updated
Sep 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Wayne C Dodd, PTNPI 1346344595
Title
Owner
Phone
(956) 546-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1064996 TX Primary

Addresses

Primary practice location

495 Amelia Earhart Ste B
Brownsville, TX 78521

Mailing address

495 Amelia Earhart Dr Ste B
Brownsville, TX 78521-5771
Phone (956) 546-7777

Other identifiers 2

IdentifierTypeStateIssuer
0065GTOtherTXBLUE CROSS BLUE SHIELD
142452501MedicaidTX

Other names 1

  • Isla Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

495 Amelia Earhart Dr
Ste B
Brownsville, TX 78521
Phone (956) 546-7777

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1790995892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 AMELIA EARHART DR STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785215771",
            "telephone_number": "956-546-7777",
            "fax_number": "956-546-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 AMELIA EARHART STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-546-7777",
            "fax_number": "956-546-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE C DODD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-546-7777",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1064996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0065GT",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142452501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isla Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.