Organization Active NPI

Divine Physical Therapy & Wellness Center PLLC

  • Physical Therapy Clinic/Center
  • Houston, TX
National Provider Identifier
1346887445
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DIVINE PHYSICAL THERAPY & WELLNESS CENTER PLLC
Practice address
11575 Pearland Pkwy Apt 3301
Houston, TX 77089-2647
Phone
(408) 444-3080
NPI assigned
Dec 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Authorized official

Name
Aaditya VaidyaNPI 1003296773
Title
Physical Therapist
Phone
(408) 444-3080

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 Primary

Addresses

Primary practice location

11575 Pearland Pkwy Apt 3301
Houston, TX 77089-2647

Mailing address

11575 Pearland Pkwy Apt 3301
Houston, TX 77089-2647
Phone (408) 444-3080

National Provider Directory

National Provider Directory

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": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1346887445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11575 PEARLAND PKWY APT 3301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892647",
            "telephone_number": "408-444-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11575 PEARLAND PKWY APT 3301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892647",
            "telephone_number": "408-444-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PHYSICAL THERAPY & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "VAIDYA",
        "authorized_official_first_name": "AADITYA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-444-3080"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 8, 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.