Organization Active NPI

Action Wellness Center LLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1548909476
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ACTION WELLNESS CENTER LLC
Practice address
6731 Stella Link Rd
Houston, TX 77005-4342
Phone
(713) 662-9900
Fax
(713) 662-9919
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mary Pace, OWNERNPI 1245331966
Title
DC
Phone
(713) 662-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6731 Stella Link Rd
Houston, TX 77005-4342

Mailing address

6731 Stella Link Rd
Houston, TX 77005-4342
Phone (713) 662-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220725000490 TX Part B Supplier - Clinic/Group Practice 8426439316 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6731 Stella Link Rd
Houston, TX 77005
Phone (713) 662-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1548909476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 STELLA LINK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770054342",
            "telephone_number": "713-662-9900",
            "fax_number": "713-662-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 STELLA LINK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770054342",
            "telephone_number": "713-662-9900",
            "fax_number": "713-662-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "713-662-9900",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Aug 27, 2024; 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.