Healthcare Provider Details

I. General information

NPI: 1851590483
Provider Name (Legal Business Name): TEXAS PHYSICAL THERAPY SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 CREEKSIDE PARK SUITE 200
SPRING BRANCH TX
78070
US

IV. Provider business mailing address

1324 COMMON ST SUITE 307
NEW BRAUNFELS TX
78130-3565
US

V. Phone/Fax

Practice location:
  • Phone: 830-625-7310
  • Fax:
Mailing address:
  • Phone: 830-625-7310
  • Fax: 830-625-8223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: ANDREW BENNETT
Title or Position: PRESIDENT
Credential: DPT
Phone: 830-625-7310