NPIMap

Organization Active NPI

North East Rehab Woodlands

  • Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1366565566
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1166438 Issued in TX
Legal business name
NORTH EAST REHAB WOODLANDS
Practice address
25003 Pitkin Rd
Suite E-100
The Woodlands, TX 77386-2610
Phone
(281) 646-1935
Fax
(281) 646-0927
NPI assigned
Apr 10, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ms. Sandra Ann Shirah, ADMINISTRATOR
Title
Credentialing Supervisor
Phone
(281) 646-1935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1166438 TX Primary

Addresses

Primary practice location

25003 Pitkin Rd
Suite E-100
The Woodlands, TX 77386-2610

Mailing address

25003 Pitkin Rd
Suite E-100
The Woodlands, TX 77386-2610
Phone (281) 646-1935

Other identifiers 3

IdentifierTypeStateIssuer
1166438OtherTXPHYSICAL THERAPY LICENSE
650546OtherTXBCBS INDIVIDUAL
1081537OtherTXPHYSICAL THERAPY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
North East Rehab Center Willowbrook3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, 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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1366565566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25003 PITKIN RD",
            "address_2": "SUITE E-100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773862610",
            "telephone_number": "281-646-1935",
            "fax_number": "281-646-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25003 PITKIN RD",
            "address_2": "SUITE E-100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773862610",
            "telephone_number": "281-646-1935",
            "fax_number": "281-646-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST REHAB WOODLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "SHIRAH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "281-646-1935",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1166438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1166438",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "650546",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1081537",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.