Organization Active NPI

Physical Wellness Center, LLC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1457804338
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PHYSICAL WELLNESS CENTER, LLC
Practice address
12600 N Featherwood Dr Ste 110
Houston, TX 77034-4441
Phone
(832) 699-8000
Fax
(281) 506-2995
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Mr. Patrick Montoya
Title
Ceo/President
Phone
(281) 764-9454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

12600 N Featherwood Dr Ste 110
Houston, TX 77034-4441

Mailing address

14614 Falling Creek Dr Ste 217
Houston, TX 77068-2941
Phone (832) 699-8000

National Provider Directory

National Provider Directory
Tax ID family
Physical Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12600 N Featherwood Dr
Ste 110
Houston, TX 77034
Phone (832) 699-8000

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1457804338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14614 FALLING CREEK DR STE 217",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682941",
            "telephone_number": "832-699-8000",
            "fax_number": "281-506-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 N FEATHERWOOD DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344441",
            "telephone_number": "832-699-8000",
            "fax_number": "281-506-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "281-764-9454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.