COLLEGE STATION PHYSICAL THERAPY AND PERFORMANCE, PLLC (NPI# 1710450077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710450077 |
| Entity Type | Organization |
| Organization Name | COLLEGE STATION PHYSICAL THERAPY AND PERFORMANCE, PLLC |
| Practice Address |
3201 University Dr E Ste 320 Bryan TX 77802-3478 |
| Practice Telephone | 9793532492 |
| Mailing Telephone | 9793532492 |
| Mailing Fax Number | 9797761372 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | BRIAN WATTS (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9793532492 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 910 William D Fitch Pkwy Ste 200, College Station, TX 778456452 | 9793532492 | 9798597137 |
| Street Address |
3201 UNIVERSITY DR E STE 320 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-3478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457324782 | James S Distefano | Emergency Medicine | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2006-02-08 |
| 1326495508 | Brazos Valley Physicians Alliance | Surgery | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2016-05-18 |
| 1104263680 | Troy Edward Barnes | Chiropractor | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2013-05-24 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1417079245 | Brazos Valley P.t., P.C. | Clinic/Center | 1716 Briarcrest Dr, Suite 101, Bryan, TX 77802-2763 | 2007-04-04 |
| 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.