Organization Active NPI

Neomedica Group LLC

  • Physical Therapy Clinic/Center
  • Pearland, TX
National Provider Identifier
1376373340
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEOMEDICA GROUP LLC
Practice address
10015 Broadway St Ste E
Pearland, TX 77584-7879
Phone
(832) 948-9922
Fax
(832) 948-9928
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Peng Chen, PHD
Title
Managing Member
Phone
(512) 574-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10015 Broadway St Ste E
Pearland, TX 77584-7879

Mailing address

1538 Moritz Park
Houston, TX 77055-1137
Phone (512) 574-0350

Other names 1

  • Fyzical Therapy and Balance Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203003801 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183150980 Receives reassigned benefits from 2 practitioners
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1376373340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 MORITZ PARK",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551137",
            "telephone_number": "512-574-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 BROADWAY ST STE E",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847879",
            "telephone_number": "832-948-9922",
            "fax_number": "832-948-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOMEDICA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "PENG",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-574-0350",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.