Individual provider Active NPI

Bradley Chovanec

  • Physical Therapist
  • Spring, TX
National Provider Identifier
1861896086
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1219189 Issued in TX
Practice address
8111 Cypresswood Dr
Spring, TX 77379-7185
Phone
(281) 376-3900
Fax
(281) 376-7019
NPI assigned
Oct 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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 1219189 TX Primary

Addresses

Primary practice location

8111 Cypresswood Dr
Spring, TX 77379-7185

Mailing address

12415 Bruns Glen LN
Tomball, TX 77377-1617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1219189TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Place of Physical Therapy PLLC CurrentSince Sep 6, 2020 Accepting new patients
TCH Pediatric Associates, Inc Past Accepting new patients

Organizations & group practices 2

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1861896086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 BRUNS GLEN LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773771617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 CYPRESSWOOD DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797185",
            "telephone_number": "281-376-3900",
            "fax_number": "281-376-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOVANEC",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1219189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.