Organization Active NPI

Theramedic Rehab and Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Stafford, TX
National Provider Identifier
1346798170
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERAMEDIC REHAB AND PHYSICAL THERAPY LLC
Practice address
12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841
Phone
(833) 733-6978
Fax
(833) 733-3778
NPI assigned
Sep 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Pankaj Mamtora, PHYSICAL THERAPISTNPI 1104123561
Title
Administrator
Phone
(833) 733-6978

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 Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841

Mailing address

12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841
Phone (833) 733-6978

Other practice location 1

17320 Red Oak Dr Ste 102
Houston, TX 77090-2646
Phone (833) 733-6978

Other practice location 2

24217 Kingsland Blvd
Katy, TX 77494-2976
Phone (833) 733-6978

Other practice location 3

608 Fm 517 Rd W
Dickinson, TX 77539-3904
Phone (833) 733-6978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161110001164 TX Part B Supplier - Clinic/Group Practice 1557640737 Receives reassigned benefits from 4 practitioners
Practice locations: Dickinson, TX; Houston, TX; Katy, TX; Mansfield, TX; Stafford, TX

National Provider Directory

National Provider Directory

Locations

11221 Katy Fwy
Ste 209
Houston, TX 77079

12603 Southwest Fwy
Ste 101
Stafford, TX 77477
Phone (281) 495-8258

Practitioners & affiliated clinicians

Practitioners 9

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": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1346798170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 101",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773841",
            "telephone_number": "833-733-6978",
            "fax_number": "833-733-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 101",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773841",
            "telephone_number": "833-733-6978",
            "fax_number": "833-733-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17320 Red Oak Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902646",
            "country_code": "US",
            "telephone_number": "833-733-6978",
            "fax_number": "833-733-3778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24217 Kingsland Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774942976",
            "country_code": "US",
            "telephone_number": "833-733-6978",
            "fax_number": "833-733-3778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Fm 517 Rd W",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "TX",
            "postal_code": "775393904",
            "country_code": "US",
            "telephone_number": "833-733-6978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAMEDIC REHAB AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "MAMTORA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "833-733-6978",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.