NPIMap

Organization Active NPI

Winter Pediatric Therapy LP

  • Rehabilitation Clinic/Center
  • Houston, TX
National Provider Identifier
1508810680
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
WINTER PEDIATRIC THERAPY LP
Practice address
340 N Sam Houston Pkwy E
Ste199
Houston, TX 77060-3325
Phone
(281) 822-0808
Fax
(281) 822-0498
NPI assigned
May 21, 2006
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Ms. Rachele Leblanc Renfrow
Title
Ceo
Phone
(281) 822-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

340 N Sam Houston Pkwy E
Ste199
Houston, TX 77060-3325

Mailing address

9900 Westpark Dr
Ste 100
Houston, TX 77063-5277
Phone (713) 528-3030

Other identifiers 1

IdentifierTypeStateIssuer
192775801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060710000107 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0840203030 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508810680. Details of each certification follow.

  • CCN 676647 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676647

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WINTER PEDIATRIC THERAPY, LP
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jan 22, 2007
Last certification
Jun 26, 2018
Ownership / control type
Proprietary
Facility address
340 N Sam Houston Pkwy E, Ste 199
Houston, TX 77060

National Provider Directory

National Provider Directory

Locations

340 N Sam Houston Pkwy E
Ste 199
Houston, TX 77060
Phone (281) 822-0808

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1508810680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 WESTPARK DR",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635277",
            "telephone_number": "713-528-3030",
            "fax_number": "713-528-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E",
            "address_2": "STE199",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603325",
            "telephone_number": "281-822-0808",
            "fax_number": "281-822-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER PEDIATRIC THERAPY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "RENFROW",
        "authorized_official_first_name": "RACHELE",
        "authorized_official_middle_name": "LEBLANC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-822-0808",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192775801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.