Organization Active NPI

Houston Sports, Rehabilitation and Nutrition Center, LLC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1376858779
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5260 Issued in TX
Legal business name
HOUSTON SPORTS, REHABILITATION AND NUTRITION CENTER, LLC
Practice address
11777 Katy Fwy Ste 460S
Houston, TX 77079-1785
Phone
(281) 497-7070
Fax
(281) 497-7077
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Dr. Ronald J Grabowski, R.D., D.C.NPI 1316929649
Title
President
Phone
(281) 497-7070

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5260 TX Primary

Addresses

Primary practice location

11777 Katy Fwy Ste 460S
Houston, TX 77079-1785

Mailing address

11777 Katy Fwy Ste 460S
Houston, TX 77079-1785
Phone (281) 497-7070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000907 TX Part B Supplier - Clinic/Group Practice 6608055959 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1201 N Dairy Ashford Rd
Ste 116
Houston, TX 77079

11777 Katy Fwy
Ste 460S
Houston, TX 77079
Phone (281) 497-7070

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": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1376858779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY STE 460S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791785",
            "telephone_number": "281-497-7070",
            "fax_number": "281-497-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY STE 460S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791785",
            "telephone_number": "281-497-7070",
            "fax_number": "281-497-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON SPORTS, REHABILITATION AND NUTRITION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "GRABOWSKI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-497-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.D., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5260",
            "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 Sep 16, 2020; 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.