BRAZOSPORT REHABILITATION & WELLNESS, LLC
NPI 1013176783
Physical Therapist in Lake Jackson, TX

Active since June 06, 2008
321 GARLAND DR, LAKE JACKSON, TX 77566(979) 297-3365(979) 297-3541 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brazosport Rehabilitation & Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAZOSPORT REHABILITATION & WELLNESS, LLC (NPI 1013176783) is a healthcare organization registered as a physical therapist in Lake Jackson, Texas and active in the NPI registry since June 2008. The organization lists Drew R. Holt, Coo, as its authorized official.

NPPES Registry Identity

NPI1013176783
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameBRAZOSPORT REHABILITATION & WELLNESS, LLC
Location Address321 GARLAND DRLake Jackson, TX 77566
Mailing Address321 Garland DrLake Jackson, TX 77566 · (979) 297-3365 · Fax (979) 297-3541
Fax(979) 297-3541
Organization SubpartNo
Authorized OfficialDrew R. HoltCoo · (979) 297-3365
Enumeration DateJune 6, 2008
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1013176783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TX · 662630000
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
321 GARLAND DR, Lake Jackson, TX 77566

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brazosport Rehabilitation & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20080818000103Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Brazosport Rehabilitation & Wellness, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Qualified Speech Language Pathologist
NPI 1336165588
321 GARLAND DR
Lake Jackson, TX 77566
(979) 297-3365
0.1 mi
Qualified Speech Language Pathologist
NPI 1114669413
321 GARLAND DR
Lake Jackson, TX 77566
(979) 297-3365
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1275207383
321 GARLAND DR
Lake Jackson, TX 77566
(979) 297-3365
✔ Accepts Medicare0.1 mi
Qualified Speech Language Pathologist
NPI 1790761104
321 GARLAND DR
Lake Jackson, TX 77566
(979) 297-3365
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1003843913
321 GARLAND DR
Lake Jackson, TX 77566
(979) 297-3365
✔ Accepts Medicare0.1 mi
Qualified Speech Language Pathologist
NPI 1578205878
301 W BRAZOSWOOD DR
Clute, TX 77531
(979) 730-7000
1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brazosport Rehabilitation & Wellness, LLC's NPI number?

The NPI number for Brazosport Rehabilitation & Wellness, LLC is 1013176783. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is Brazosport Rehabilitation & Wellness, LLC located?

Brazosport Rehabilitation & Wellness, LLC is located at 321 Garland Dr, Lake Jackson, TX 77566. The listed phone number is (979) 297-3365.

What is Brazosport Rehabilitation & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Brazosport Rehabilitation & Wellness, LLC enrolled in Medicare?

Yes. Brazosport Rehabilitation & Wellness, LLC is registered in the Medicare PECOS enrollment system.

When is Brazosport Rehabilitation & Wellness, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Brazosport Rehabilitation & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Brazosport Rehabilitation & Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Speech Language Pathologist (4) and Physical Therapist in Private Practice (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brazosport Rehabilitation & Wellness, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Brazosport Rehabilitation & Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brazosport Rehabilitation & Wellness, LLC was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.