Active NPI
Neomedica Group LLC
- Physical Therapy Clinic/Center
- Pearland, TX
National Provider Identifier
1376373340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Webster, TX
- NPI 1295413078
-
- Physical Therapist
- Pearland, TX
- NPI 1790635043
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.