Organization Active NPI

RTG Rehab PLLC

Doing business as Magnolia Physical Therapy

  • Physical Therapist
  • Magnolia, TX
National Provider Identifier
1437867421
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RTG REHAB PLLC
Doing business as
Magnolia Physical Therapy
Practice address
18252 FM 1488 Rd Ste 130
Magnolia, TX 77354-4527
Phone
(281) 356-8645
Fax
(281) 356-8447
NPI assigned
Nov 9, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Russell T Green, DPTNPI 1801401781
Title
Owner
Phone
(281) 356-8645

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 TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

18252 FM 1488 Rd Ste 130
Magnolia, TX 77354-4527

Mailing address

18252 FM 1488 Rd Ste 130
Magnolia, TX 77354-4527
Phone (281) 356-8645

Other names 1

  • MAGNOLIA PHYSICAL THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105001934 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325415888 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1437867421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18252 FM 1488 RD STE 130",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544527",
            "telephone_number": "281-356-8645",
            "fax_number": "281-356-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18252 FM 1488 RD STE 130",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544527",
            "telephone_number": "281-356-8645",
            "fax_number": "281-356-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTG REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-356-8645",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.