Provider Demographics
NPI:1891736021
Name:PIERCE, CATHERINE L (PT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8150
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78468-8150
Mailing Address - Country:US
Mailing Address - Phone:361-993-4778
Mailing Address - Fax:361-993-4779
Practice Address - Street 1:2101 AIRLINE RD
Practice Address - Street 2:THERAPY FIRST LLC
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-993-4778
Practice Address - Fax:361-993-4779
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016244225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y582OtherGROUP PTAN
TX1891736021OtherNPI
TX0001QAOtherBLUE CROSS BLUE SHIELD GROUP NUMBER
TX8T6011OtherBLUE CROSS BLUE SHIELD
8T7609OtherBLUE CROSS BLUE SHIELD
TX8F7084Medicare PIN