Direct PT of Huntsville TX

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DIRECT PT OF HUNTSVILLE TX

Practice address

3200 Robinson Creek Pkwy Ste B
Huntsville, TX 77340-2298

Phone

(936) 994-8752

NPI assigned

Apr 10, 2022

Organization subpart

No

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

Authorized official

Name

Cassie Fry

Title

Owner/Sole MBR

Phone

(936) 994-8752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Daniel Brabham, PT, DPT

  • Physical Therapist
  • Conroe, TX
  • NPI 1245984111
  Medicare reassignment Care Compare group NPD
• Hsuan Chen, PT

  • Physical Therapist
  • Spring, TX
  • NPI 1962051227
  Medicare reassignment Care Compare group NPD
• Marcy Alexandra Arenas, PT, DPT

  • Physical Therapist
  • Humble, TX
  • NPI 1194414094
  Medicare reassignment NPD
• Suzan K Foster, PT

  • Physical Medicine & Rehabilitation Physician
  • Bryan, TX
  • NPI 1487854402
  Medicare reassignment NPD
• David Joshua Tidwell, PT

  • Physical Therapist
  • Spring, TX
  • NPI 1922099670
  Medicare reassignment NPD

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649548800000",
    "number": "1922740075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PINEDALE RD",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773207441",
            "telephone_number": "936-994-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 ROBINSON CREEK PKWY STE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773402298",
            "telephone_number": "936-994-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PT OF HUNTSVILLE TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "OWNER/SOLE MBR",
        "authorized_official_telephone_number": "936-994-8752"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Deras
• Devon T Kooi DDS PLLC (Dental Health Associates)
• Claire Ann Devore, PA
• Sean Dickie, RPH
• Digestive Specialists of North Harris County PA (Digestive Specialists, Pa)
• Marcia Diulus, MPH, RD, LD
• Amy Divin, PTA
• Laura Megan Dixon
• Han DO
• Christi R Dodd, PA

• Physical Therapist in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.