Organization Active NPI

Visionary Wound Rehab PLLC

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1548140163
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VISIONARY WOUND REHAB PLLC
Practice address
411 Lantern Bend Dr Ste 100E
Houston, TX 77090-2839
Phone
(310) 480-1669
NPI assigned
Sep 4, 2025
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Emeka Aludogbu, DC
Title
Owner
Phone
(310) 480-1669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

411 Lantern Bend Dr Ste 100E
Houston, TX 77090-2839

Mailing address

411 Lantern Bend Dr Ste 100E
Houston, TX 77090-2839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009004157 TX Part B Supplier - Clinic/Group Practice 1355848771 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

411 Lantern Bend Dr
Ste 100
Houston, TX 77090
Phone (281) 880-1325

411 Lantern Bend Dr
Ste 100E
Houston, TX 77090
Phone (832) 944-5221

Practitioners & affiliated clinicians

Practitioners 7

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": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1548140163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LANTERN BEND DR STE 100E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LANTERN BEND DR STE 100E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902839",
            "telephone_number": "310-480-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY WOUND REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "ALUDOGBU",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-480-1669",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "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 Feb 4, 2026; 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.