PG Daley & CR Boone PTR Clear Lake Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PG DALEY & CR BOONE PTR CLEAR LAKE PHYSICAL THERAPY

Practice address

520 Blossom Street
Webster, TX 77598

Phone

(281) 332-1569

Fax

(281) 316-2464

NPI assigned

Nov 3, 2006

Organization subpart

No

Name

Ms. Sherryn L. O'Toole

Title

Bus. Manager

Phone

(281) 332-1569

• Clear Lake Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2008.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1467531228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BLOSSOM ST",
            "address_2": "CLEAR LAKE PHYSICAL THERAPY",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-332-1569",
            "fax_number": "281-316-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BLOSSOM STREET",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-332-1569",
            "fax_number": "281-316-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PG DALEY & CR BOONE PTR CLEAR LAKE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "O'TOOLE",
        "authorized_official_first_name": "SHERRYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUS. MANAGER",
        "authorized_official_telephone_number": "281-332-1569",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Lake Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Petitt, MD
• Bart Edward Petrini, MD
• Lorena Rebeca Pettiette
• Tinesha Shanta Pettiway
• Adrianna Symone Pfeifer, DOULA
• Diana Pham, N.P.
• Hoang Pham, MD
• Sarah Pham
• Zoe Ly Pham, OD
• Kevin Bui Phan

• All providers in Webster, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.