Individual provider Active NPI

Ingrid Badillo Gonzalez, LMT

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Katy, TX
National Provider Identifier
1578047981
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
127296 Issued in TX
Practice address
1808 Snake River Rd Ste D
Katy, TX 77449-7746
Phone
(346) 546-9653
Fax
(832) 626-3627
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 127296 TX Primary
Massage Therapist 225700000X MT127296 TX
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X

Addresses

Primary practice location

1808 Snake River Rd Ste D
Katy, TX 77449-7746

Mailing address

1808 Snake River Rd Ste D
Katy, TX 77449-7746
Phone (346) 546-9653

Other practice location 1

5400 Pinemont Dr Ste 107
Houston, TX 77092-3400
Phone (346) 546-9653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT127296TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therassage Medical Solution Nutrition, Education CurrentSince Jun 7, 2020 Accepting new patients
Therassage MD, PLLC Nutrition, Education CurrentSince Jan 1, 2023 Accepting new patients

Locations

5950 S Gessner Rd
Ste C
Houston, TX 77036
Phone (346) 571-4997

5400 Pinemont Dr
Ste 107
Houston, TX 77092
Phone (346) 546-9653

1808 Snake River Rd
Ste D
Katy, TX 77449
Phone (346) 546-9653

1806 Snake River Rd
Ste B
Katy, TX 77449
Phone (346) 810-1144

1830 Snake River Rd
Ste D
Katy, TX 77449
Phone (863) 812-6228

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1578047981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SNAKE RIVER RD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497746",
            "telephone_number": "346-546-9653",
            "fax_number": "832-626-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SNAKE RIVER RD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497746",
            "telephone_number": "346-546-9653",
            "fax_number": "832-626-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Pinemont Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770923400",
            "country_code": "US",
            "telephone_number": "346-546-9653",
            "fax_number": "832-626-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADILLO GONZALEZ",
        "first_name": "INGRID",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "127296",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT127296",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 28, 2026; 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.