Organization Active NPI

Ondrusek Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1427249630
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1084119 Issued in TX
Legal business name
ONDRUSEK PHYSICAL THERAPY, INC.
Practice address
16103 Lexington Blvd
Suite H
Sugar Land, TX 77479-2385
Phone
(281) 980-3630
Fax
(281) 980-3632
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Mrs. Catherine Louise Ondrusek, PTNPI 1558580456
Title
Owner
Phone
(281) 980-3630

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
Physical Therapy Clinic/Center 261QP2000X 1084119 TX Primary

Addresses

Primary practice location

16103 Lexington Blvd
Suite H
Sugar Land, TX 77479-2385

Mailing address

16103 Lexington Blvd
Suite H
Sugar Land, TX 77479-2385
Phone (281) 980-3630

Other identifiers 1

IdentifierTypeStateIssuer
659798OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000230 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921171612 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

16103 Lexington Blvd
Ste H
Sugar Land, TX 77479
Phone (281) 980-3630

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1427249630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16103 LEXINGTON BLVD",
            "address_2": "SUITE H",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792385",
            "telephone_number": "281-980-3630",
            "fax_number": "281-980-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16103 LEXINGTON BLVD",
            "address_2": "SUITE H",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792385",
            "telephone_number": "281-980-3630",
            "fax_number": "281-980-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONDRUSEK PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "ONDRUSEK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-980-3630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1084119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "659798",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.