Advanced Rehab Medicine, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

R5541 Issued in TX

Legal business name

ADVANCED REHAB MEDICINE, PLLC

Practice address

9119 Hwy 6
Suite 230, #127
Missouri City, TX 77479

Phone

(516) 729-5808

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Roshni Durgam, MD

Title

Member

Phone

(516) 729-5808

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1063998706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HWY 6",
            "address_2": "SUITE 230, #127",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "516-729-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 HWY 6",
            "address_2": "SUITE 230, #127",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "516-729-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHAB MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "DURGAM",
        "authorized_official_first_name": "ROSHNI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-729-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R5541",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "Q9529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.