Active NPI
Fundamental Pediatric Therapy
- Physical Therapist
- Angleton, TX
National Provider Identifier
1508531633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FUNDAMENTAL PEDIATRIC THERAPY
- Practice address
- 938 E Myrtle St
Angleton, TX 77515-5816 - Phone
- (713) 384-3135
- Fax
- (832) 637-7499
- NPI assigned
- Aug 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Melissa Skillern, PT, DPT
- Title
- Owner/Physical Therapist
- Phone
- (713) 384-3135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
938 E Myrtle St
Angleton, TX 77515-5816
Mailing address
24 Signal Hill Dr
Manvel, TX 77578-3291
Phone (713) 384-3135
National Provider Directory
National Provider DirectoryLocations
938 E Myrtle St
Angleton, TX 77515
Phone (713) 384-3135
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Houston, TX
- NPI 1346476694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1508531633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SIGNAL HILL DR",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783291",
"telephone_number": "713-384-3135",
"fax_number": "832-637-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 E MYRTLE ST",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775155816",
"telephone_number": "713-384-3135",
"fax_number": "832-637-7499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNDAMENTAL PEDIATRIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "SKILLERN",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "713-384-3135",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Angleton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.