Statera Physical Therapy and Rehabilitation Clinic, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1269878 Issued in TX

Legal business name

STATERA PHYSICAL THERAPY AND REHABILITATION CLINIC, PLLC

Doing business as

Houston Osteopathic Physical Therapy
Houston Osteopractic Physical Therapy
Statera Physical Therapy

Practice address

8830 Long Point Rd Ste 504
Houston, TX 77055-3026

Phone

(346) 802-3188

Fax

(346) 802-3187

NPI assigned

Feb 13, 2017

Last updated

Mar 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eden Younmyung Kang, DPTNPI 1801345491

Title

Director

Phone

(346) 802-3188

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 3

• Houston Osteopathic Physical Therapy Doing business as
• Houston Osteopractic Physical Therapy Doing business as
• Statera Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Eden Younmyung Kang, PT

  • Physical Therapist
  • Houston, TX
  • NPI 1801345491
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1396284295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 LONG POINT RD STE 504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553026",
            "telephone_number": "346-802-3188",
            "fax_number": "346-802-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 LONG POINT RD STE 504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553026",
            "telephone_number": "346-802-3188",
            "fax_number": "346-802-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATERA PHYSICAL THERAPY AND REHABILITATION CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "YOUNMYUNG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "346-802-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1269878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370820801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Osteopathic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Houston Osteopractic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Statera Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Statscript

• Physical Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.