KMC Rehabilitation & Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KMC REHABILITATION & WELLNESS LLC

Practice address

34716 Elliot Lane
Waller, TX 77484

Phone

(713) 446-0075

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moriam O Kadiri, PTNPI 1811322688

Title

Ceo

Phone

(713) 446-0075

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moriam O Kadiri, PT, DPT

  • Physical Therapist
  • Houston, TX
  • NPI 1811322688
  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1346981420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34716 ELLIOT LANE",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "77484",
            "telephone_number": "713-446-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34716 ELLIOT LANE",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "77484",
            "telephone_number": "713-446-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMC REHABILITATION & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "KADIRI",
        "authorized_official_first_name": "MORIAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-446-0075",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "endpointDescription": "PracticeFusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1540 County Road",
            "address_2": "# 131",
            "city": "BURLINGTON",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Waller, TX
• Providers in Waller, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.