ADVANCE THERAPY PC – Physical Medicine & Rehabilitation Physician, NPI 1710187737
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADVANCE THERAPY PC
15119 Wallisville Rd Ste 100
Houston, TX 770494629
Phone: (979) 774-9958
Fax: (979) 774-9978
Type: Location
415 W Wheatland Rd # 102
Duncanville, TX 751164619
Phone: (972) 296-1808
Fax: (972) 296-3777
Type: Location
18502 WEST BELORT SUITE 118
RICHMOND, TX 77407
Phone: (979) 774-9958
Fax: (979) 774-9978
Type: Location
1690 W Baker Rd Ste A
Baytown, TX 775212416
Phone: (281) 214-2565
Fax: (713) 814-9076
Type: Location
9638 Huffmeister Rd Ste A
Houston, TX 770952895
Phone: (281) 404-5331
Fax: (713) 814-9076
Type: Location
3634 Glenn Lakes Ln Ste 130
Missouri City, TX 774593695
Phone: (713) 518-1805
Fax: (713) 814-9076
Type: Location
3700, Cross Park Drive, Bryan, Brazos County, Texas, 77802, United States
BRYAN, TX 778024137
Phone: (979) 774-9958
Fax: (979) 774-9978
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (13 days ago).
Enrollment records
1
Earliest due date
2026-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20120502000743 | O | Physical/Occupational Therapy Group In Private Practice | TX | 2026-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77049)
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