NPIMap

Organization Active NPI

Bulverde Rehabilitation & Wellness Center PLLC

Doing business as Bulverde Physical Therapy & Wellness Center

  • Specialist
  • Spring Branch, TX
National Provider Identifier
1962646315
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
633230000 Issued in TX
Legal business name
BULVERDE REHABILITATION & WELLNESS CENTER PLLC
Doing business as
Bulverde Physical Therapy & Wellness Center
Practice address
20475 Hwy 46W
#150
Spring Branch, TX 78070-6180
Phone
(830) 980-4055
Fax
(830) 438-4085
NPI assigned
Apr 29, 2009
Last updated
Apr 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Darlene McGill
Title
Member
Phone
(830) 980-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 633230000 TX Primary

Addresses

Primary practice location

20475 Hwy 46W
#150
Spring Branch, TX 78070-6180

Mailing address

20475 Hwy 46W
#150
Spring Branch, TX 78070-6180
Phone (830) 980-4055

Other identifiers 1

IdentifierTypeStateIssuer
0036EFOtherTXBC/BS

Other names 1

  • Bulverde Physical Therapy & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1962646315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20475 HWY 46W",
            "address_2": "#150",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706180",
            "telephone_number": "830-980-4055",
            "fax_number": "830-438-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 HWY 46W",
            "address_2": "#150",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706180",
            "telephone_number": "830-980-4055",
            "fax_number": "830-438-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULVERDE REHABILITATION & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "830-980-4055"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "633230000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0036EF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bulverde Physical Therapy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.