Organization Active NPI

Houston Rehabilitation Specialist, P.a.

  • Specialist
  • Katy, TX
National Provider Identifier
1558554402
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M6929 Issued in TX
Legal business name
HOUSTON REHABILITATION SPECIALIST, P.A.
Practice address
23331 Grand Reserve Dr
Katy, TX 77494-4850
Phone
(281) 505-3500
Fax
(281) 505-3895
NPI assigned
Aug 23, 2007
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Dr. Danique Lysanne Vandongen, MDNPI 1003009986
Title
Owner/Operator
Phone
(281) 505-3526

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X M6929 TX Primary

Addresses

Primary practice location

23331 Grand Reserve Dr
Katy, TX 77494-4850

Mailing address

PO Box 520
Katy, TX 77492-0520
Phone (281) 505-3526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080627000128 TX Part B Supplier - Clinic/Group Practice 2567552813 Receives reassigned benefits from 2 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

23331 Grand Reserve Dr
Katy, TX 77494
Phone (281) 505-3500

Practitioners & affiliated clinicians

Practitioners 2

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": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1558554402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774920520",
            "telephone_number": "281-505-3526",
            "fax_number": "281-505-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23331 GRAND RESERVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944850",
            "telephone_number": "281-505-3500",
            "fax_number": "281-505-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON REHABILITATION SPECIALIST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "VANDONGEN",
        "authorized_official_first_name": "DANIQUE",
        "authorized_official_middle_name": "LYSANNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "281-505-3526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M6929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.