Southeast Residential Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SOUTHEAST RESIDENTIAL REHAB LLC

Practice address

2929 Allen Pkwy Ste 200
Houston, TX 77019-7123

Phone

(832) 341-5395

Fax

(281) 554-6875

NPI assigned

May 5, 2022

Last updated

May 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Titus John, OTNPI 1912487430

Title

Owner

Phone

(832) 341-5395

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Titus T. John

  • Occupational Therapist
  • Friendswood, TX
  • NPI 1912487430
  Authorized official Same address or phone

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1265177042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 ALLEN PKWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770197123",
            "telephone_number": "832-341-5395",
            "fax_number": "281-554-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 ALLEN PKWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770197123",
            "telephone_number": "832-341-5395",
            "fax_number": "281-554-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST RESIDENTIAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "TITUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-341-5395",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.