Organization Active NPI

Your Wellness Physical Therapy Limited Liability Company

  • Orthopedic Physical Therapist
  • Seabrook, TX
National Provider Identifier
1366220816
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
YOUR WELLNESS PHYSICAL THERAPY LIMITED LIABILITY COMPANY
Practice address
2314 Pin Hook CT
Seabrook, TX 77586-3348
Phone
(832) 876-8862
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Ahmed A Arafat, ENGINEER
Title
Owner
Phone
(832) 876-8902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

2314 Pin Hook CT
Seabrook, TX 77586-3348

Mailing address

2314 Pin Hook CT
Seabrook, TX 77586-3348
Phone (832) 876-8862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220002259 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062862824 Receives reassigned benefits from 1 practitioner
Practice locations: Seabrook, TX

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1366220816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 PIN HOOK CT",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775863348",
            "telephone_number": "832-876-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 PIN HOOK CT",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775863348",
            "telephone_number": "832-876-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WELLNESS PHYSICAL THERAPY LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "ARAFAT",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-876-8902",
        "authorized_official_credential": "ENGINEER"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seabrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.