Max Rehab & Sport LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

115822 Issued in TX

Legal business name

MAX REHAB & SPORT LLC

Practice address

208 Dixie Dr
Clute, TX 77531-5122

Phone

(979) 265-2755

Fax

(979) 265-2756

NPI assigned

Feb 4, 2018

Last updated

Feb 4, 2018By 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

Lauren Eileen Bowles, PTNPI 1871092999

Title

Owner

Phone

(979) 265-2755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Eileen Bowles, PT

  • Physical Therapist
  • Clute, TX
  • NPI 1871092999
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca Trine Townsend, DPT

  • Physical Therapist
  • Houston, TX
  • NPI 1972097020
  Medicare reassignment Care Compare group NPD
• Lisa Michelle Brunner, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Brazoria, TX
  • NPI 1861118143
  Medicare reassignment NPD

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517702400000",
    "number": "1043719164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 DIXIE DR",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775315122",
            "telephone_number": "979-265-2755",
            "fax_number": "979-265-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 DIXIE DR",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775315122",
            "telephone_number": "979-265-2755",
            "fax_number": "979-265-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX REHAB & SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-04",
        "last_updated": "2018-02-04",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-265-2755",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "115822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Lado, DC
• Ngoc Dieu T Lam
• Thanh Le, PHARMACIST
• Little Heroes Home Health
• Teresa Ann Martin, RPH
• Neuerburg Chiropractic, L.P.
• Christopher Michael Neuerburg, D.C.
• Sejal Amit Patel, PHARMACIST
• Vishal V Pattni, B.S, D.D.S
• Jessica Ann Perez

• Physical Therapist in Clute, TX
• Providers in Clute, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.