1588076392 NPI number — MRS. BRITTANY ANN WEBB PT, DPT

Table of content: MRS. BRITTANY ANN WEBB PT, DPT (NPI 1588076392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588076392 NPI number — MRS. BRITTANY ANN WEBB PT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEBB
Provider First Name:
BRITTANY
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MACKRELL
Provider Other First Name:
BRITTANY
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MAIDEN NAME
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588076392
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1165 NUTMEG TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW BRAUNFELS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78132-2959
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-837-1758
Provider Business Mailing Address Fax Number:
830-310-7901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2967 OAK RUN PKWY RM 505-1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BRAUNFELS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78132-5395
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-837-1758
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , with the licence number:  1248031 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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