Active NPI
Legend Rehab Center LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Houston, TX
National Provider Identifier
1265649735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 543450000
- Legal business name
- LEGEND REHAB CENTER LLC
- Practice address
- 10101 Bissonnet St Ste 120
Houston, TX 77036-7855 - Phone
- (713) 776-3477
- Fax
- (713) 776-3502
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prem P Gogia
- Title
- President
- Phone
- (713) 776-3477
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 543450000 | TX | Primary |
Addresses
Primary practice location
10101 Bissonnet St Ste 120
Houston, TX 77036-7855
Mailing address
PO Box 742685
Houston, TX 77274-2685
Phone (713) 776-3477
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Sugar Land, TX
- NPI 1053518605
-
- Physical Therapist
- Houston, TX
- NPI 1902171432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1265649735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742685",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772742685",
"telephone_number": "713-776-3477",
"fax_number": "713-776-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 BISSONNET ST STE 120",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367855",
"telephone_number": "713-776-3477",
"fax_number": "713-776-3502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGEND REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "GOGIA",
"authorized_official_first_name": "PREM",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-776-3477"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "TX",
"license": "543450000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.