Physiatry Connect PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSIATRY CONNECT PLLC

Practice address

1211 Marconi St
Houston, TX 77019-4209

Phone

(646) 422-9113

Fax

(818) 671-2225

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Nisha Raja-Rahman, MD

Title

Ceo/Owner

Phone

(646) 422-9113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1326506494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MARCONI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194209",
            "telephone_number": "646-422-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MARCONI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194209",
            "telephone_number": "646-422-9113",
            "fax_number": "818-671-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIATRY CONNECT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "RAJA-RAHMAN",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "646-422-9113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "R9534",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Ngoc Phung, MD
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• Physical Healthinstitute of Texas, Inc.
• Physical Rehab Services, Inc., (Allheart Healthcare)
• Physical Theraphy Jones Rd
• Physical Therapy & Rehab of Houston
• Physical Therapy Family Care LLC

• Physical Medicine & Rehabilitation Physician in Houston, TX
• Providers in Houston, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.