Provider Demographics
NPI:1619593803
Name:HOOPS PHYSIO, PLLC
Entity Type:Organization
Organization Name:HOOPS PHYSIO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:THADDEUS
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:II
Authorized Official - Credentials:PT, DPT, COMT
Authorized Official - Phone:512-983-5622
Mailing Address - Street 1:243 RUMMEL DR
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 KOHLERS XING STE 200
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2461
Practice Address - Country:US
Practice Address - Phone:512-983-5622
Practice Address - Fax:512-887-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty