Organization Active NPI

Imagine Abundance LLC

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1528676434
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IMAGINE ABUNDANCE LLC
Practice address
2990 Richmond Ave Ste 432
Houston, TX 77098-3115
Phone
(512) 426-6642
NPI assigned
Jul 16, 2020
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Pablo Cesar Meilicke, DPTNPI 1861032062
Title
Owner
Phone
(512) 426-6642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2990 Richmond Ave Ste 432
Houston, TX 77098-3115

Mailing address

71 E Green Gables Cir
The Woodlands, TX 77382-1145
Phone (512) 426-6642

National Provider Directory

National Provider Directory

Locations

2000 Crawford St
Ste 1629
Houston, TX 77002
Phone (512) 426-6642

2990 Richmond Ave
Ste 432
Houston, TX 77098
Phone (512) 426-6642

4425 W Airport Fwy
Ste 370
Irving, TX 75062

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1528676434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 E GREEN GABLES CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821145",
            "telephone_number": "512-426-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 RICHMOND AVE STE 432",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983115",
            "telephone_number": "512-426-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE ABUNDANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "MEILICKE",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-426-6642",
        "authorized_official_credential": "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 Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.