Organization Active NPI

Heart of Texas Physical Therapy PLLC

  • Physical Therapist
  • Waco, TX
National Provider Identifier
1982063863
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEART OF TEXAS PHYSICAL THERAPY PLLC
Practice address
5016 W Waco Dr
Waco, TX 76710-7022
Phone
(254) 301-7374
Fax
(800) 862-5429
NPI assigned
Feb 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Dr. Jacob Nathaniel Brindle, PTNPI 1649635871
Title
Owner
Phone
(254) 981-3238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

5016 W Waco Dr
Waco, TX 76710-7022

Mailing address

5016 W Waco Dr
Waco, TX 76710-7022
Phone (254) 301-7374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160229001693 TX Part B Supplier - Clinic/Group Practice 6406151430 Receives reassigned benefits from 2 practitioners
Practice locations: Waco, TX

National Provider Directory

National Provider Directory

Locations

4209 W Waco Dr
Ste 4
Waco, TX 76710
Phone (254) 981-3238

508 Lake Air Dr
Waco, TX 76710
Phone (254) 301-7374

Practitioners & affiliated clinicians

Practitioners 2

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": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1982063863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107022",
            "telephone_number": "254-301-7374",
            "fax_number": "800-862-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107022",
            "telephone_number": "254-301-7374",
            "fax_number": "800-862-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BRINDLE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-981-3238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.