Individual provider Active NPI

Brian Troyce Gregory, PT, DPT

  • Pediatric Physical Therapist
  • Georgetown, TX
National Provider Identifier
1942766357
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1315725 Issued in TX
Practice address
4402 Williams Dr Ste 115
Georgetown, TX 78628-1388
Phone
(512) 256-7627
NPI assigned
Feb 11, 2019
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1315725 TX Primary
Sports Physical Therapist 2251S0007X 1315725 TX
Orthopedic Physical Therapist 2251X0800X 1315725 TX

Addresses

Primary practice location

4402 Williams Dr Ste 115
Georgetown, TX 78628-1388

Mailing address

9201 Slate Creek TRL
Austin, TX 78717-2934
Phone (903) 654-2069

Other practice location 1

2519 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2964
Phone (512) 331-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190415000270 TX Practitioner - Physical Therapist in Private Practice 8123369469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Care Therapies of Georgetown PLLCGroup PAC ID 7810119591, 20 clinicians

Practice addresses (Care Compare)

1521 E Business
Suite 190
Copperas Cove, TX 76522-2343
Phone (512) 256-7627

3610 Williams Dr
Georgetown, TX 78628-2420
Phone (512) 256-7627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1315725TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapies of Texas, PLLC Pediatrics PastSince Mar 1, 2021 Accepting new patients
Jacqueline Kozak PastSince Nov 6, 2022 Accepting new patients

Organizations & group practices 3

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1942766357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 SLATE CREEK TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787172934",
            "telephone_number": "903-654-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 WILLIAMS DR STE 115",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281388",
            "telephone_number": "512-256-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2519 S Lakeline Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132964",
            "country_code": "US",
            "telephone_number": "512-331-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "BRIAN",
        "middle_name": "TROYCE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1315725",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1315725",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1315725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.