Individual provider Active NPI

Bryan J McAdams, PT, DPT, CSCS

  • Physical Therapist
  • Selma, TX
National Provider Identifier
1902153547
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1221369 Issued in TX
Practice address
8335 Agora Pkwy
Suite 100
Selma, TX 78154-1382
Phone
(210) 658-8483
NPI assigned
Aug 14, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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 1221369 TX Primary

Addresses

Primary practice location

8335 Agora Pkwy
Suite 100
Selma, TX 78154-1382

Mailing address

1111 River Hills Dr
San Marcos, TX 78666-9501
Phone (512) 736-4393

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Physical Therapy PC Physical Therapist CurrentSince Oct 31, 2017 Accepting new patients

Locations

1501 E Mockingbird Ln
Ste 406
Victoria, TX 77904
Phone (361) 578-3513

3412 Sam Houston Dr
Victoria, TX 77904
Phone (361) 575-6328

601 E San Antonio St
Ste 301W
Victoria, TX 77901
Phone (361) 578-3513

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1902153547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RIVER HILLS DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786669501",
            "telephone_number": "512-736-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 AGORA PKWY",
            "address_2": "SUITE 100",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781541382",
            "telephone_number": "210-658-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "BRYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1221369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.