Darla Brister, PT
Individual provider Active NPI Physical Therapist · Orange, TX
NPI 1831331669 · NPPES record last updated Mar 25, 2009
Key facts
- NPI
- 1831331669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1055762 (TX)
- Practice address
- 1504 Buckingham Dr
Orange, TX 77632-0425 - Phone
- (409) 779-2222
- NPI assigned
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055762 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1055762 | TX | Yes |
Addresses
Primary practice location
1504 Buckingham Dr
Orange, TX 77632-0425
Mailing address
1504 Buckingham Dr
Orange, TX 77632-0425
Phone (409) 779-2222
Other providers in Orange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.