Organization Active NPI

Neurorehabilitation Specialists, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Conroe, TX
National Provider Identifier
1295210581
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NEUROREHABILITATION SPECIALISTS, PLLC
Practice address
9297 Wahrenberger Rd
Conroe, TX 77304-2441
Phone
(936) 788-7770
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Dr. Savitha Bonthala, DONPI 1033551965
Title
Owner
Phone
(281) 382-4838

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

9297 Wahrenberger Rd
Conroe, TX 77304-2441

Mailing address

15403 Bay Cove CT
Houston, TX 77059-5821
Phone (281) 382-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190124002531 TX Part B Supplier - Clinic/Group Practice 9234476557 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9297 Wahrenberger Rd
Conroe, TX 77304
Phone (800) 414-4824

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1295210581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15403 BAY COVE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595821",
            "telephone_number": "281-382-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9297 WAHRENBERGER RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042441",
            "telephone_number": "936-788-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROREHABILITATION SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "BONTHALA",
        "authorized_official_first_name": "SAVITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-382-4838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.