Angleton Rehabilitation and Wellness Center, LTD
Organization Active NPI Physical Therapist · Angleton, TX
NPI 1508801747 · NPPES record last updated Apr 9, 2023
Key facts
- NPI
- 1508801747
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 650330001 (TX)
- Legal business name
- ANGLETON REHABILITATION AND WELLNESS CENTER, LTD
- Practice address
- 421 S Velasco St
Angleton, TX 77515-6015 - Phone
- (979) 848-1886
- Fax
- (979) 848-1376
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mal B Patil
- Title
- Account Manager
- Phone
- (979) 848-1886
Corporate family (same tax ID) 1
Practitioners 5
-
Keith Wade Pesnell, P.T.
-
Donna Marie Beltran, P.T.
-
Suchi Prajapati, PT
-
Perlalita Sulit, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041122000947 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3173588878 |
Receives reassigned benefits from 5 practitioners Practice locations: Angleton, TX |
National Provider Directory
- Tax ID family
- Angleton Rehabilitation and Wellness Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 650330001 | TX | Yes |
Addresses
Primary practice location
421 S Velasco St
Angleton, TX 77515-6015
Mailing address
421 S Velasco St
Angleton, TX 77515-6015
Phone (979) 848-1886
Other providers in Angleton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.