Organization Active NPI

Houston Regenerative Therapy LLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1477115996
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOUSTON REGENERATIVE THERAPY LLC
Practice address
947 Gessner Rd Ste A250
Houston, TX 77024-1730
Phone
(713) 587-0900
Fax
(832) 831-9061
NPI assigned
Jul 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Ton Thanh Ha, DCNPI 1891871729
Title
Owner
Phone
(713) 777-7888

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

947 Gessner Rd Ste A250
Houston, TX 77024-1730

Mailing address

947 Gessner Rd Ste A250
Houston, TX 77024-1730
Phone (713) 777-7888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210322000981 TX Part B Supplier - Clinic/Group Practice 1355758293 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

947 Gessner Rd
Ste A250
Houston, TX 77024
Phone (281) 208-7335

Practitioners & affiliated clinicians

Practitioners 3

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": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1477115996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 GESSNER RD STE A250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241730",
            "telephone_number": "713-777-7888",
            "fax_number": "832-831-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 GESSNER RD STE A250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241730",
            "telephone_number": "713-587-0900",
            "fax_number": "832-831-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON REGENERATIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-04",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "TON",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-777-7888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Mar 29, 2024; 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.