Organization Active NPI

Pe Health Choice Rehabilitation Center PA

  • Rehabilitation Chiropractor
  • Houston, TX
National Provider Identifier
1356156608
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
PE HEALTH CHOICE REHABILITATION CENTER PA
Practice address
2040 North Loop W Ste 103a
Houston, TX 77018-8157
Phone
(713) 522-2886
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Nicole Shutko, DCNPI 1083804355
Title
Doctor
Phone
(832) 633-5454

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
Rehabilitation Chiropractor 111NR0400X NU Primary

Addresses

Primary practice location

2040 North Loop W Ste 103a
Houston, TX 77018-8157

Mailing address

2040 North Loop W Ste 103a
Houston, TX 77018-8157
Phone (713) 522-2886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218003182 TX Part B Supplier - Clinic/Group Practice 9638699846 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2040 North Loop W
Ste 103A
Houston, TX 77018
Phone (713) 522-2886

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1356156608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 NORTH LOOP W STE 103A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188157",
            "telephone_number": "713-522-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 NORTH LOOP W STE 103A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188157",
            "telephone_number": "713-522-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PE HEALTH CHOICE REHABILITATION CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "SHUTKO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "832-633-5454",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "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 Feb 12, 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.