Active NPI
Nisal Corp.
- Physical Medicine & Rehabilitation Physician
- Houston, TX
National Provider Identifier
1275826604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- NISAL CORP.
- Practice address
- 2918 San Jacinto St Ste 200
Houston, TX 77004-2708 - Phone
- (713) 652-3145
- Fax
- (713) 652-3146
- NPI assigned
- May 18, 2011
- 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
- Ms. Carmen L Manzo
- Title
- Credentialing Coordinator
- Phone
- (713) 378-0667
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Chiropractor | 111N00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Occupational Medicine Physician | 2083X0100X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
2918 San Jacinto St Ste 200
Houston, TX 77004-2708
Mailing address
PO Box 24809
Houston, TX 77229-4809
Phone (713) 652-3145
Other names 1
- ALLIED INJURY AND REHABILIATION
National Provider Directory
National Provider Directory- Tax ID family
- Nisal Corp
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1003100660
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1386938942
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1447544002
-
- Specialist
- Pasadena, TX
- NPI 1013035732
-
- Physical Therapist
- Houston, TX
- NPI 1023311230
Locations
2918 San Jacinto St
Ste 200
Houston, TX 77004
Phone (713) 652-3145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1275826604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24809",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772294809",
"telephone_number": "713-652-3145",
"fax_number": "713-652-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 SAN JACINTO ST STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770042708",
"telephone_number": "713-652-3145",
"fax_number": "713-652-3146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NISAL CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A",
"authorized_official_last_name": "MANZO",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "713-378-0667",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALLIED INJURY AND REHABILIATION",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.