Adom Rehab and Physical Medicine

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

F8454 Issued in TX

Legal business name

ADOM REHAB AND PHYSICAL MEDICINE

Practice address

10600 Fondren Rd
#101
Houston, TX 77096

Phone

(713) 776-0091

Fax

(713) 776-0093

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Tina O Collins, DC

Title

Administrator

Phone

(713) 776-0252

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Pain Aide Rehab and Physical Medicine Former legal business name

Locations

Practitioners 3

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

• Warren B Dailey, MD

  • Specialist
  • Houston, TX
  • NPI 1073555389
  NPD (past)
• Richard J Kondejewski, M.D.

  • General Practice Physician
  • Houston, TX
  • NPI 1174546204
  NPD (past)
• Shaffin Ali Mohamed, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
  • NPI 1164493920
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1265598734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 FONDREN RD",
            "address_2": "SUITE #101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-776-0252",
            "fax_number": "713-776-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 FONDREN RD",
            "address_2": "#101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-776-0091",
            "fax_number": "713-776-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOM REHAB AND PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-776-0252",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6816",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "TX",
            "license": "F8454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P08815K05",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0899443N7",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P089942N7",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Aide Rehab and Physical Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joey M Adolf, D.C.
• Mary Adolph
• Ron L Adolph
• Wandy Francisca Adolph, RN
• Adom Hospice Company, LLC
• Abena Ode Adom
• Adonai Care Homes, Inc
• Adonai Carehomes Inc.
• Adonai Health Care Services Inc
• Adonai Helping Hands

• Occupational Medicine Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Medicine Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.