Organization Active NPI

PM&R Solutions, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Southlake, TX
National Provider Identifier
1174900377
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
K8811 Issued in TX
Legal business name
PM&R SOLUTIONS, PLLC
Practice address
405 S Nolen Dr
Southlake, TX 76092-7504
Phone
(817) 796-9725
Fax
(817) 442-1645
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dr. Sankar Pemmaraju, D.O.
Title
President
Phone
(817) 796-9725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X K8811 TX Primary

Addresses

Primary practice location

405 S Nolen Dr
Southlake, TX 76092-7504

Mailing address

405 S Nolen Dr
Southlake, TX 76092-7504
Phone (817) 796-9725

National Provider Directory

National Provider Directory

Locations

405 S Nolen Dr
Southlake, TX 76092
Phone (817) 796-9725

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1174900377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S NOLEN DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927504",
            "telephone_number": "817-796-9725",
            "fax_number": "817-442-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S NOLEN DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927504",
            "telephone_number": "817-796-9725",
            "fax_number": "817-442-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM&R SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "PEMMARAJU",
        "authorized_official_first_name": "SANKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-796-9725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K8811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.