NPIMap

Organization Active NPI

Vaddcarm LLC

Doing business as Fyzical Therapy & Balance Center

  • Physical Therapist
  • Conroe, TX
National Provider Identifier
1952843427
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VADDCARM LLC
Doing business as
Fyzical Therapy & Balance Center
Practice address
15210 Interstate 45 S
Suite 108
Conroe, TX 77384-4105
Phone
(832) 702-7272
Fax
(832) 702-7255
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Ryan Mann, OWNER/OPERATOR
Title
Owner
Phone
(713) 294-9766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1048759 TX
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

15210 Interstate 45 S
Suite 108
Conroe, TX 77384-4105

Mailing address

15210 Interstate 45 South
Suite 108
Conroe, TX 77384
Phone (832) 702-7272

Other names 1

  • Fyzical Therapy & Balance Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170221002353 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931483880 Receives reassigned benefits from 4 practitioners
Practice locations: Conroe, TX

National Provider Directory

National Provider Directory

Locations

15210 Interstate 45 S
Ste 180
Conroe, TX 77384

15210 Interstate 45 S
Ste 108
Conroe, TX 77384
Phone (832) 702-7255

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21888/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1952843427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 INTERSTATE 45 SOUTH",
            "address_2": "SUITE 108",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "832-702-7272",
            "fax_number": "832-702-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 INTERSTATE 45 S",
            "address_2": "SUITE 108",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844105",
            "telephone_number": "832-702-7272",
            "fax_number": "832-702-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VADDCARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-294-9766",
        "authorized_official_credential": "OWNER/OPERATOR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1048759",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.