NPIMap

Organization Active NPI

Recovery & Goals LLC

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1548518673
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P1867 Issued in TX
Legal business name
RECOVERY & GOALS LLC
Practice address
1737 North Loop W
Houston, TX 77008-1425
Phone
(713) 869-5551
Fax
(713) 869-3230
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Varsha Reddy Gillala, DO
Title
President
Phone
(248) 633-4514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X P1867 TX Primary

Addresses

Primary practice location

1737 North Loop W
Houston, TX 77008-1425

Mailing address

11666 Gulf Pointe Dr
Apt 8204
Houston, TX 77089-2635
Phone (248) 633-4514

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1548518673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11666 GULF POINTE DR",
            "address_2": "APT 8204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892635",
            "telephone_number": "248-633-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081425",
            "telephone_number": "713-869-5551",
            "fax_number": "713-869-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY & GOALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "GILLALA",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-633-4514",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P1867",
            "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 Oct 9, 2012; 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.