NPIMap

Organization Active NPI

Core Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Lake Jackson, TX
National Provider Identifier
1457536609
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1055911 Issued in TX
Legal business name
CORE PHYSICAL THERAPY, PLLC
Practice address
230 Parking Way
Lake Jackson, TX 77566
Phone
(979) 297-2900
Fax
(979) 297-2901
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Ms. Helen Havana Feltman, PLT,CFTNPI 1316910672
Title
Physical Therapist/Owner
Phone
(979) 297-2900

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 1055911 TX Primary

Addresses

Primary practice location

230 Parking Way
Lake Jackson, TX 77566

Mailing address

PO Box 1946
Angleton, TX 77516-1946
Phone (979) 297-2900

Other identifiers 1

IdentifierTypeStateIssuer
179372101MedicaidTX

National Provider Directory

National Provider Directory

Locations

1014 N Velasco St
Angleton, TX 77515
Phone (979) 864-3001

207 That Way St
#A
Lake Jackson, TX 77566
Phone (979) 297-8800

Practitioners & affiliated clinicians

Practitioners 7

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1457536609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1946",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775161946",
            "telephone_number": "979-297-2900",
            "fax_number": "979-297-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PARKING WAY",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-297-2900",
            "fax_number": "979-297-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "FELTMAN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "HAVANA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "979-297-2900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PLT,CFT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1055911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179372101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.