Organization Active NPI

Therapy Spot PLLC

  • Rehabilitation Clinic/Center
  • Pearland, TX
National Provider Identifier
1407914872
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
THERAPY SPOT PLLC
Practice address
8619 Broadway St
Suite 200
Pearland, TX 77584-8496
Phone
(281) 485-4818
Fax
(281) 485-5446
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Mr. David Gerke
Title
Cio
Phone
(713) 383-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X TX Primary

Addresses

Primary practice location

8619 Broadway St
Suite 200
Pearland, TX 77584-8496

Mailing address

8619 Broadway St
Suite 200
Pearland, TX 77584-8496
Phone (281) 485-4818

Other identifiers 2

IdentifierTypeStateIssuer
164781001MedicaidTX
3435197OtherTXAETNA

Other names 1

  • The Therapy Spot Doing business as

National Provider Directory

National Provider Directory

Locations

8619 Broadway St
Ste 200
Pearland, TX 77584
Phone (281) 485-4818

9330 Broadway St
Ste B312
Pearland, TX 77584
Phone (281) 485-4818

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1407914872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848496",
            "telephone_number": "281-485-4818",
            "fax_number": "281-485-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848496",
            "telephone_number": "281-485-4818",
            "fax_number": "281-485-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SPOT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GERKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "713-383-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164781001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3435197",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapy Spot",
            "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 Jan 7, 2015; 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.