Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bannecker Baxter Woods

Individual provider Physical Therapist · NPI 1710516703

Bannecker Baxter Woods is a Physical Therapist in Private Practice in Spring, Texas. Qualified in 2019, 7 years ago. Practices with Kingwood Physical Therapy Ltd, a 25-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

21301 Kuykendahl Rd Ste B
Spring, TX 77379-2614
Phone: (281) 379-2102
Fax: (281) 379-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1329453 (TX)

Record details

NPI number1710516703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kingwood Physical Therapy Ltd — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spring