Advanced Functional Rehab

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

9316 Issued in TX

Legal business name

ADVANCED FUNCTIONAL REHAB

Doing business as

Advanced Functional Rehab

Practice address

5959 West Loop S
Suite 250
Bellaire, TX 77401-2421

Phone

(281) 410-8750

Fax

(281) 709-6797

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pleshette B Johnson-Wiggins, D.C.

Title

Partner

Phone

(281) 410-8750

Specialties & licenses 1

Addresses

Other names 1

• Advanced Functional Rehab Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1003286329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17424 W GRAND PKWY S",
            "address_2": "SUITE 521",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792564",
            "telephone_number": "281-410-8750",
            "fax_number": "281-709-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 WEST LOOP S",
            "address_2": "SUITE 250",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012421",
            "telephone_number": "281-410-8750",
            "fax_number": "281-709-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FUNCTIONAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-WIGGINS",
        "authorized_official_first_name": "PLESHETTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "281-410-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "9316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Functional Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Bellaire, TX by specialty
• Occupational Health Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.