Quality Life Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

QUALITY LIFE PHYSICAL THERAPY LLC

Practice address

14550 Torrey Chase Blvd Ste 110
Houston, TX 77014-1031

Phone

(281) 836-5985

Fax

(281) 836-6038

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

M. Cornelssen

Title

Ceo/Owner

Phone

(832) 401-9407

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 4

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

• Joseph Johnson

  • Physical Therapy Assistant
  • Houston, TX
  • NPI 1770273120
  NPD
• Latifat Omotayo Olafimihan, PT

  • Physical Therapist
  • Baytown, TX
  • NPI 1548584097
  NPD
• Taylor Vaterlaus

  • Physical Therapy Assistant
  • Houston, TX
  • NPI 1750087474
  NPD
• Rita A Osemeka

  • Physical Therapy Assistant
  • Houston, TX
  • NPI 1073120705
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1265010268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 TORREY CHASE BLVD STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141031",
            "telephone_number": "281-836-5985",
            "fax_number": "281-836-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 TORREY CHASE BLVD STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141031",
            "telephone_number": "281-836-5985",
            "fax_number": "281-836-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "CORNELSSEN",
        "authorized_official_first_name": "M.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "832-401-9407"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "qualitylifephysicaltherapy.com",
            "affiliation": "N",
            "address_1": "14550 Torrey Chase Blvd Ste 110",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770141031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.