Organization Active NPI

Del Rio Therapy, P.C.

Doing business as Back To Action

  • Physical Therapist
  • Del Rio, TX
National Provider Identifier
1861573875
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DEL RIO THERAPY, P.C.
Doing business as
Back To Action
Practice address
3804 Veterans Blvd
Del Rio, TX 78840-2859
Phone
(830) 775-9118
Fax
(830) 775-9229
NPI assigned
Oct 17, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Brett Alan TiceNPI 1780690024
Title
Ceo/Owner
Phone
(956) 428-2512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary
Physical Therapy Assistant 225200000X TX
Speech-Language Pathologist 235Z00000X TX

Addresses

Primary practice location

3804 Veterans Blvd
Del Rio, TX 78840-2859

Mailing address

PO Box 532047
Harlingen, TX 78553-2047
Phone (956) 428-2512

Other practice location 1

2201 N Bedell Ave
Suite B
Del Rio, TX 78840-8020
Phone (830) 775-9118

Other identifiers 1

IdentifierTypeStateIssuer
184572901MedicaidTX

Other names 1

  • Back To Action Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061116000365 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2163420654 Practice locations: Del Rio, TX

National Provider Directory

National Provider Directory
Tax ID family
Del Rio Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2201 N Bedell Ave
Ste B
Del Rio, TX 78840
Phone (830) 774-1556

3804 Veterans Blvd
Del Rio, TX 78840
Phone (830) 775-9118

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1861573875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532047",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785532047",
            "telephone_number": "956-428-2512",
            "fax_number": "956-428-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 VETERANS BLVD",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402859",
            "telephone_number": "830-775-9118",
            "fax_number": "830-775-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 N Bedell Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788408020",
            "country_code": "US",
            "telephone_number": "830-775-9118",
            "fax_number": "830-775-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEL RIO THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "956-428-2512"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184572901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back To Action",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.