North East Rehab Parker

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1081537 Issued in TX

Legal business name

NORTH EAST REHAB PARKER

Practice address

465 West Parker Rd
Houston, TX 77091

Phone

(281) 646-1935

Fax

(281) 646-0927

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Ann Shirah, ADMINISTRATOR

Title

Credentialing Supervisor

Phone

(281) 646-1935

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Thomas Mathew Doing business as

Tax ID family

North East Rehab Center Willowbrook3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• North East Rehab Center Willowbrook

  • Physical Therapist
  • Houston, TX
  • NPI 1245455963
  NPD tax ID
• North East Rehab Woodlands

  • Physical Therapist
  • The Woodlands, TX
  • NPI 1366565566
  NPD tax ID

Locations

Practitioners 1

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

• Thomas Mathew, LPT

  • Physical Therapist
  • Houston, TX
  • NPI 1639217169
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285851519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WEST PARKER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77091",
            "telephone_number": "281-646-1935",
            "fax_number": "281-646-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WEST PARKER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77091",
            "telephone_number": "281-646-1935",
            "fax_number": "281-646-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST REHAB PARKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SHIRAH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "281-646-1935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1081537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1081537",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "650546",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Mathew",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Belt Urgent Care, LLC
• North Channel Emergency Medical Services Association
• North Cypress Anesthesiology Associates
• North Cypress Surgicenter, LLC
• North East Rehab Center Willowbrook
• North Forest Independent School District
• North Forest Isd
• North Freeway Health & Injury Center, PA
• North Harris County Community Center
• North Harris EMS, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.