Lake Conroe Physical Therapy and Rehabilitation Services, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1122646 Issued in TX

Legal business name

LAKE CONROE PHYSICAL THERAPY AND REHABILITATION SERVICES, INC.

Practice address

11459 Regal Hill CT
Montgomery, TX 77316-9648

Phone

(409) 539-0587

Fax

(936) 588-6017

NPI assigned

Dec 12, 2014

Last updated

Dec 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Huber, MPTNPI 1568854552

Title

President

Phone

(409) 539-0587

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jennifer Huber, PT

  • Physical Therapist
  • Montgomery, TX
  • NPI 1568854552
  NPD (past) Authorized official

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1467850057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11459 REGAL HILL CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773169648",
            "telephone_number": "409-539-0587",
            "fax_number": "936-588-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11459 REGAL HILL CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773169648",
            "telephone_number": "409-539-0587",
            "fax_number": "936-588-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CONROE PHYSICAL THERAPY AND REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-539-0587",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1122646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Narendra Kuda, PHARMD
• Wendy Kuo, OD
• Lake Area Emergency Center LLC (Physicians ER Lake Area)
• Lake Area Pediatrics
• Lake Conroe Counseling Center, PLLC (Lake Conroe Counseling)
• Lakeside Pharmacy LLC (Lakeside Pharmacy)
• Lakeside Pharmacy LLC
• Lakeside Sleep Center LLC
• Wilmot Lambert, RN
• Lcpdsmiles PLLC

• Physical Therapy Clinic/Center in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.