NPIMap

Organization Active NPI

Webster Rehabilitation Specialists LLC

  • Physical Medicine & Rehabilitation Physician
  • Webster, TX
National Provider Identifier
1063917268
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WEBSTER REHABILITATION SPECIALISTS LLC
Practice address
500 N Kobayashi Ste a
Webster, TX 77598-4722
Phone
(817) 479-3132
Fax
(281) 724-0487
NPI assigned
Mar 28, 2018
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Husam Issa, MDNPI 1821064304
Title
Owner
Phone
(281) 747-9313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

500 N Kobayashi Ste a
Webster, TX 77598-4722

Mailing address

PO Box 58662
Webster, TX 77598-8662
Phone (281) 747-9313

Other practice location 1

500 N Kobayashi Ste C
Webster, TX 77598-4722
Phone (281) 747-9313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180508000237 TX Part B Supplier - Clinic/Group Practice 7315201910 Receives reassigned benefits from 7 practitioners
Practice locations: Webster, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1063917268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58662",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988662",
            "telephone_number": "281-747-9313",
            "fax_number": "281-724-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KOBAYASHI STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984722",
            "telephone_number": "817-479-3132",
            "fax_number": "281-724-0487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Kobayashi Ste C",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984722",
            "country_code": "US",
            "telephone_number": "281-747-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEBSTER REHABILITATION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-747-9313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.