Organization Active NPI

Proactive Injury & Rehab Clinic LLC

Doing business as Proactive Clinic

  • Rehabilitation Clinic/Center
  • Houston, TX
National Provider Identifier
1336053164
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PROACTIVE INJURY & REHAB CLINIC LLC
Doing business as
Proactive Clinic
Practice address
6666 Harwin Dr Ste 460
Houston, TX 77036-2275
Phone
(832) 712-1975
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Andy Raul Manzano Matos
Title
Chief Executive Officer
Phone
(832) 705-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

6666 Harwin Dr Ste 460
Houston, TX 77036-2275

Mailing address

6666 Harwin Dr Ste 460
Houston, TX 77036-2275
Phone (832) 712-1975

Other names 1

  • Proactive Clinic Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1336053164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 HARWIN DR STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362275",
            "telephone_number": "832-712-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 HARWIN DR STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362275",
            "telephone_number": "832-712-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE INJURY & REHAB CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "MANZANO MATOS",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-705-2204"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Clinic",
            "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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.