Active NPI
Spe Medical & Physical Therapy Clinic PLLC
- Health Service Clinic/Center
- Houston, TX
National Provider Identifier
1073196382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryNPI 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.