Organization Active NPI

Charlotte Stelly-Seitz, M.D.,P.a.

  • Pediatric Rehabilitation Medicine Physician
  • Houston, TX
National Provider Identifier
1346565769
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
G8980 Issued in TX
Legal business name
CHARLOTTE STELLY-SEITZ, M.D.,P.A.
Practice address
1213 Hermann Dr
Suite 675
Houston, TX 77004-7018
Phone
(713) 523-3463
Fax
(713) 523-3491
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Charlotte Marie Stelly-Seitz, M.D.
Title
Owner
Phone
(713) 523-3463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P0010X G8980 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Suite 675
Houston, TX 77004-7018

Mailing address

PO Box 890545
Houston, TX 77289-0545
Phone (713) 523-3463

Other identifiers 1

IdentifierTypeStateIssuer
138306908MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1346565769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890545",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772890545",
            "telephone_number": "713-523-3463",
            "fax_number": "713-523-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-523-3463",
            "fax_number": "713-523-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE STELLY-SEITZ, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "STELLY-SEITZ",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-523-3463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "G8980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138306908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 29, 2010; 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.