Provider Demographics
NPI:1861679342
Name:THOMAS, GREGORY CHARLES (DPT)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:CHARLES
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10575 KATY FWY
Mailing Address - Street 2:SUITE 244
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1013
Mailing Address - Country:US
Mailing Address - Phone:832-657-0900
Mailing Address - Fax:832-657-0904
Practice Address - Street 1:10575 KATY FWY
Practice Address - Street 2:SUITE 244
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1013
Practice Address - Country:US
Practice Address - Phone:832-657-0900
Practice Address - Fax:832-657-0904
Is Sole Proprietor?:No
Enumeration Date:2008-01-27
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025778-1225100000X, 2251S0007X, 2251X0800X
TX1244611225100000X, 2251X0800X, 2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic