BRAZOS VALLEY P.T., P.C. (NPI# 1417079245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417079245 |
| Entity Type | Organization |
| Organization Name | BRAZOS VALLEY P.T., P.C. |
| Practice Address |
1716 Briarcrest Dr Suite 101 Bryan TX 77802-2763 |
| Practice Telephone | 9798462878 |
| Practice Fax Number | 9798462877 |
| Mailing Telephone | 9798462878 |
| Mailing Fax Number | 9798462877 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS GARY ALAN JOHNSON (CEO) |
| Authorized Official Telephone | 9798462878 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FEDERAL BCBS P.T. | 8T1220 | 01 |
| TX | BCBSGROUP OUTPATIENT P.T. | 0041JZ | 01 |
| Street Address |
1716 BRIARCREST DR SUITE 101 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992827802 | Gary Alan Johnson | Specialist | 1716 Briarcrest Dr, Ste 800, Bryan, TX 77802-2763 | 2007-04-04 |
| 1538589338 | Moeller Home Healthcare LLC | Home Health | 1716 Briarcrest Dr, Ste 300 Pmb 121, Bryan, TX 77802-2777 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710450077 | College Station Physical Therapy and Performance, Pllc | Clinic/Center | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2019-01-09 |
| 1538565825 | Texas Hand Therapy | Clinic/Center | 3201 University Dr E, Suite 365, Bryan, TX 77802-3475 | 2014-11-13 |
| 1063719896 | Summit Health & Rehab Services, Inc | Clinic/Center | 4091 Eastchester Dr, Bryan, TX 77802-4735 | 2011-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114609 | Grace Physical Therapy and Wellness | Clinic/Center | 2218 Ridgedale Dr, Arlington, TX 76013-5423 | 2020-11-02 |
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1639770100 | Modern Physical Therapy | Clinic/Center | 5151 Katy Fwy Ste 209, Houston, TX 77007-2260 | 2020-11-02 |
| 1477154011 | Innovative Occupational Therapy | Clinic/Center | 1100 Lake Carolyn Pkwy, Irving, TX 75039-4701 | 2020-11-02 |
| 1760082390 | Optimal Physical Therapy & Pain Relief | Clinic/Center | 3400 Mcmillen Rd Apt 7305, Wylie, TX 75098-7729 | 2020-11-01 |
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
| 1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
| 1053928093 | Aleya Wellness Pllc | Clinic/Center | 2528 Rusty Spur, Leander, TX 78641-8797 | 2020-09-24 |
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.