Individual provider Active NPI

Timothy F Waugh, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1841584620
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1087948 Issued in TX
Practice address
9334 Spellman Rd
Houston, TX 77031-2227
Phone
(281) 467-5683
Fax
(713) 270-7307
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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 1087948 TX Primary

Addresses

Primary practice location

9334 Spellman Rd
Houston, TX 77031-2227

Mailing address

9334 Spellman Rd
Houston, TX 77031-2227
Phone (281) 467-5683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719000337 TX Practitioner - Physical Therapist in Private Practice 2860873197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1087948TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy Centers, PLLC Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients

Locations

4600 Fairmont Pkwy
Ste 205
Pasadena, TX 77504
Phone (281) 998-8600

10223 Broadway St
Ste B
Pearland, TX 77584
Phone (713) 436-3900

8850 Six Pines Dr
Ste 290
Shenandoah, TX 77380
Phone (281) 364-8844

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1841584620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9334 SPELLMAN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312227",
            "telephone_number": "281-467-5683",
            "fax_number": "713-270-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9334 SPELLMAN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312227",
            "telephone_number": "281-467-5683",
            "fax_number": "713-270-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "TIMOTHY",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1087948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.