Organization Active NPI

Venvidivici LLC

  • Physical Medicine & Rehabilitation Physician
  • Pearland, TX
National Provider Identifier
1235500166
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M0081 Issued in TX
Legal business name
VENVIDIVICI LLC
Practice address
2620 Cullen Pkwy Ste 202
Pearland, TX 77581-9008
Phone
(281) 520-1495
Fax
(281) 412-4020
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Joseph PerezNPI 1659525210
Title
Administrator
Phone
(281) 962-4183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X M0081 TX Primary

Addresses

Primary practice location

2620 Cullen Pkwy Ste 202
Pearland, TX 77581-9008

Mailing address

2620 Cullen Pkwy Ste 202
Pearland, TX 77581-9008
Phone (281) 520-1495

Other names 1

  • Regenerative Center of Texas Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1235500166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CULLEN PKWY STE 202",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819008",
            "telephone_number": "281-520-1495",
            "fax_number": "281-412-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CULLEN PKWY STE 202",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819008",
            "telephone_number": "281-520-1495",
            "fax_number": "281-412-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENVIDIVICI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-962-4183"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M0081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerative Center of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.