Physical Medicine & Rehab

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

4256 Issued in TX

Legal business name

PHYSICAL MEDICINE & REHAB

Practice address

25404 Highway 59
Suite 102
Porter, TX 77365-5295

Phone

(281) 354-4000

Fax

(281) 354-8128

NPI assigned

Dec 31, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Langeland

Title

Owner

Phone

(281) 354-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1437547320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25404 HIGHWAY 59",
            "address_2": "SUITE 102",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655295",
            "telephone_number": "281-354-4000",
            "fax_number": "281-354-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25404 HIGHWAY 59",
            "address_2": "SUITE 102",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655295",
            "telephone_number": "281-354-4000",
            "fax_number": "281-354-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "LANGELAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-354-4000"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "4256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0049DJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Patten, APN
• Saxby Payton, RD, LD
• Leighlah Hannan Pearson
• Kathleen Alexa Perry, D.C.
• Jasmine Pettiford, M.D.
• Physical Medicine and Rehabilitation
• Jana Marie Poole-McLain, PH. D.
• Porter Emergency Room LLC
• Porter Medical Center PLLC
• Hedieh Pournik, D.D.S

• Rehabilitation Chiropractor in Porter, TX
• Providers in Porter, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.