NPIMap

Organization Active NPI

New Braunfels Sports & Spine Physical Therapy

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1891817714
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
660870000 Issued in TX
Legal business name
NEW BRAUNFELS SPORTS & SPINE PHYSICAL THERAPY
Practice address
1744 E Common St Ste 400
New Braunfels, TX 78130-6079
Phone
(830) 620-4922
Fax
(830) 625-1194
NPI assigned
Apr 3, 2007
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Renee Wilson
Title
Office Manager
Phone
(830) 620-4922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 660870000 TX Primary
Occupational Therapist 225X00000X 556150000 TX

Addresses

Primary practice location

1744 E Common St Ste 400
New Braunfels, TX 78130-6079

Mailing address

1744 E Common St Ste 400
New Braunfels, TX 78130-6079
Phone (830) 620-4922

Other identifiers 1

IdentifierTypeStateIssuer
0073PKOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080809000052 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688748684 Receives reassigned benefits from 6 practitioners
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

1528 E Common St
New Braunfels, TX 78130

1528 E Common St
Ste 23
New Braunfels, TX 78130
Phone (830) 620-4922

1744 E Common St
Ste 400
New Braunfels, TX 78130
Phone (830) 620-4922

Practitioners & affiliated clinicians

Practitioners 12

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1891817714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E COMMON ST STE 400",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306079",
            "telephone_number": "830-620-4922",
            "fax_number": "830-625-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 E COMMON ST STE 400",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306079",
            "telephone_number": "830-620-4922",
            "fax_number": "830-625-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS SPORTS & SPINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-620-4922"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "660870000",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "556150000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0073PK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.