Active NPI
Pankaj Mamtora, R.P.T.
- Physical Therapist
- Stafford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1319413
- Practice address
- 12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841 - Phone
- (833) 733-6978
- Fax
- (833) 733-3778
- NPI assigned
- Feb 22, 2011
- Last updated
- Sep 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1319413 | TX | Primary |
Addresses
Primary practice location
12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841
Mailing address
12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841
Phone (833) 733-6978
Other practice location 1
24217 Kingsland Blvd
Katy, TX 77494-2976
Phone (833) 733-6978
Other practice location 2
17320 Red Oak Dr Ste 102
Houston, TX 77090-2646
Phone (833) 733-6978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TX
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Theramedic Rehab Inc. | Current | Accepting new patients | |
| Harone, PA | Past | Accepting new patients |
Locations
5130 Coolidge Hwy
Royal Oak, MI 48073
Phone (248) 288-9500
26400 W 12 Mile Rd
Ste 25
Southfield, MI 48034
Phone (248) 565-4000
12603 Southwest Fwy
Ste 101
Stafford, TX 77477
Phone (281) 495-8258
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Southfield, MI
- NPI 1639292014
Physical Therapist
-
- Physical Therapy Clinic/Center
- Stafford, TX
- NPI 1346798170
-
- Rehabilitation Clinic/Center
- Stafford, TX
- NPI 1902104607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1104123561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12603 SOUTHWEST FWY STE 101",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773841",
"telephone_number": "833-733-6978",
"fax_number": "833-733-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12603 SOUTHWEST FWY STE 101",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773841",
"telephone_number": "833-733-6978",
"fax_number": "833-733-3778"
}
],
"practiceLocations": [
{
"address_1": "24217 Kingsland Blvd",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774942976",
"country_code": "US",
"telephone_number": "833-733-6978",
"fax_number": "833-733-3778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17320 Red Oak Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770902646",
"country_code": "US",
"telephone_number": "833-733-6978",
"fax_number": "833-733-3778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAMTORA",
"first_name": "PANKAJ",
"name_prefix": "Mr.",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-22",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1319413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.