Robert Horry Center for Sports and Physical Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

670760000 Issued in TX

Legal business name

ROBERT HORRY CENTER FOR SPORTS AND PHYSICAL REHABILITATION, LLC

Practice address

15591 Creek Bend Dr
Sugar Land, TX 77478-3381

Phone

(281) 277-0751

Fax

(281) 277-0761

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kegis Smith

Title

Partner/ Ceo

Phone

(281) 277-0751

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Mynar, PTA

  • Physical Therapy Assistant
  • Sugar Land, TX
  • NPI 1225310311
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1013289792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15591 CREEK BEND DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783381",
            "telephone_number": "281-277-0751",
            "fax_number": "281-277-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15591 CREEK BEND DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783381",
            "telephone_number": "281-277-0751",
            "fax_number": "281-277-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HORRY CENTER FOR SPORTS AND PHYSICAL REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEGIS",
        "authorized_official_title_or_position": "PARTNER/ CEO",
        "authorized_official_telephone_number": "281-277-0751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "670760000",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "563360000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittney Roberts
• Caitlin Roberts, LPC
• Matthew Thomas Roberts, DO
• Melody Sadie Robertson, CNIM

• Physical Therapist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.