Organization Active NPI

Spe Medical & Physical Therapy Clinic PLLC

  • Health Service Clinic/Center
  • Houston, TX
National Provider Identifier
1073196382
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SPE MEDICAL & PHYSICAL THERAPY CLINIC PLLC
Practice address
10103 Fondren Rd Ste 150a
Houston, TX 77096-4556
Phone
(128) 166-0866
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Stella C Enelichi, PT. DPT
Title
Director
Phone
(281) 660-8661

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X Primary
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

10103 Fondren Rd Ste 150a
Houston, TX 77096-4556

Mailing address

10103 Fondren Rd Ste 150a
Houston, TX 77096-4556
Phone (128) 166-0866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1073196382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD STE 150A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964556",
            "telephone_number": "128-166-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD STE 150A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964556",
            "telephone_number": "128-166-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPE MEDICAL & PHYSICAL THERAPY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "ENELICHI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-660-8661",
        "authorized_official_credential": "PT. DPT"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "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 May 4, 2021; 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.