MR. BROCK RUSSELL LARSON (NPI# 1447410279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447410279 |
| Entity Type | Individual |
| Full Name | MR. BROCK RUSSELL LARSON |
| Credential | PTA |
| Practice Address |
9180 Katy Fwy Ste 200 Houston TX 77055-7443 |
| Mailing Address |
310 E Heard St Ganado TX 77962-8413 |
| Practice Telephone | 7139841400 |
| Mailing Telephone | 3617715956 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2062500 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PTA LICENSCE | 2062500 | 01 |
| Street Address |
9180 KATY FWY STE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77055-7443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558356527 | Eghtedarolah Sadeghpour | Orthopaedic Surgery | 9180 Katy Fwy Ste 200, Houston, TX 77055-7443 | 2005-09-15 |
| 1952780140 | Joel Esteban Rodriguez | Family Medicine | 9180 Katy Fwy Ste 200, Houston, TX 77055-7443 | 2015-05-21 |
| 1306235155 | Leah Palmer | Specialist | 9180 Katy Fwy Ste 200, Houston, TX 77055-7443 | 2015-01-16 |
| 1922330224 | Khs Surgical | Clinic/Center | 9180 Katy Fwy Ste 200, Houston, TX 77055-7443 | 2010-02-11 |
| 1245498302 | Falcon American Plastic Surgery Pa | Clinic/Center | 9180 Katy Fwy Ste 200, Houston, TX 77055-7443 | 2008-05-27 |
| 1235105123 | Donald E. Baxter | Orthopaedic Surgery | 9180 Katy Fwy Ste 200, Houston, TX 77055-7454 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
| 1134777238 | Cini Thomas | Nurse Practitioner | 9504 Long Point Rd, Suite E, Houston, TX 77055 | 2019-08-31 |
| 1598248056 | Jan Michael Coz | Occupational Therapy Assistant | 1341 Blalock Road, Houston, TX 77055 | 2018-09-11 |
| 1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
| 1508353129 | Amber Clarke | Nurse Practitioner | Westside Physicians Clinic, 1160 Blalock Rd, Houston, TX 77055 | 2018-04-19 |
| 1205338506 | Kelsey Samantha Gold | Registered Nurse | 7605 Wedgewood Lane, Houston, TX 77055 | 2018-03-02 |
| 1255849147 | Tan Minh Nguyen | Physical Therapy Assistant | 1341 Blalock, Houston, TX 77055 | 2018-01-13 |
| 1679097737 | Susan Degner | Social Worker | 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 | 2017-07-31 |
| 1003336413 | Solange Inzillo | Speech-Language Pathologist | 9757 Pine Lake Drive, #4025, Houston, TX 77055 | 2017-06-27 |
| 1386181618 | Gem Monika Yamon Escamilla | Nurse Practitioner | 8116 Long Point Rd, Houston, TX 77055 | 2017-01-25 |
| Find all providers in zip 77055 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830520 | Anthony Aghaji Felix | Physical Therapy Assistant | 13978 Maximos Dr, Houston, TX 77083-8044 | 2020-10-27 |
| 1992303309 | Gamaelle Colas | Physical Therapy Assistant | 2602 White Bluff Ln, Houston, TX 77038-2729 | 2020-10-16 |
| 1073120705 | Rita A Osemeka | Physical Therapy Assistant | 14405 Walters Rd Ste 630, Houston, TX 77014-1390 | 2020-09-27 |
| 1912513607 | Kiara Phillips | Physical Therapy Assistant | 2605 Reed Rd Apt 3212, Houston, TX 77051-2568 | 2020-09-18 |
| 1598370579 | Angela Huynh | Physical Therapy Assistant | 8914 Emerald Heights Ln, Houston, TX 77083-7701 | 2020-09-15 |
| 1619585429 | Destiny Vega-benitez | Physical Therapy Assistant | 13131 Royal Bell Ct, Houston, TX 77047-2525 | 2020-07-17 |
| 1396353348 | Shan A Khan | Physical Therapy Assistant | 20333 State Highway 249 Ste 200, Houston, TX 77070-2613 | 2020-07-15 |
| 1952929879 | Alex Moon | Physical Therapy Assistant | 11223 Stoney Meadow Dr, Houston, TX 77095-6614 | 2020-07-07 |
| 1841815180 | Shelby Bandy | Physical Therapy Assistant | 1371 Studer St, Houston, TX 77007-3236 | 2020-06-12 |
| 1992332936 | Pinpoint Rehab Limited Liability Company | Physical Therapy Assistant | 15109 Heathrow Forest Pkwy Ste 130, Houston, TX 77032-3851 | 2020-03-26 |
| Find all providers in HOUSTON | ||||
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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.