Active NPI
Brian Troyce Gregory, PT, DPT
- Pediatric Physical Therapist
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1315725
- Practice address
- 4402 Williams Dr Ste 115
Georgetown, TX 78628-1388 - Phone
- (512) 256-7627
- NPI assigned
- Feb 11, 2019
- Last updated
- Feb 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1315725 | TX | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Therapies of Texas, PLLC | Pediatrics | Past | Accepting new patients |
| Jacqueline Kozak | Past | 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.
-
- Occupational Therapist
- Georgetown, TX
- NPI 1033538921
-
- Multi-Specialty Clinic/Center
- Copperas Cove, TX
- NPI 1164009254
Pediatrics
-
- Occupational Medicine Clinic/Center
- Georgetown, TX
- NPI 1699482448
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.