Organization Active NPI

MCL Home Therapy, LLC

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1013202936
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MCL HOME THERAPY, LLC
Practice address
13107 Advance Dr
Houston, TX 77065-2103
Phone
(832) 260-2227
Fax
(832) 688-8832
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Mrs. Christine Marie Suarez Azcona, PT
Title
Owner / Adminisatrator
Phone
(832) 260-2227

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

13107 Advance Dr
Houston, TX 77065-2103

Mailing address

13107 Advance Dr
Houston, TX 77065-2103
Phone (832) 260-2227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1013202936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 ADVANCE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770652103",
            "telephone_number": "832-260-2227",
            "fax_number": "832-688-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 ADVANCE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770652103",
            "telephone_number": "832-260-2227",
            "fax_number": "832-688-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCL HOME THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "AZCONA",
        "authorized_official_first_name": "CHRISTINE MARIE",
        "authorized_official_middle_name": "SUAREZ",
        "authorized_official_title_or_position": "OWNER / ADMINISATRATOR",
        "authorized_official_telephone_number": "832-260-2227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.