NPIMap

Organization Active NPI

Lymphedema Therapy Specialists Inc.

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1578104352
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LYMPHEDEMA THERAPY SPECIALISTS INC.
Practice address
2385 W Bellfort Ave.
Ste 100
Houston, TX 77054
Phone
(713) 497-5335
Fax
(833) 891-3211
NPI assigned
Oct 3, 2019
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Benjamin Gomez
Title
Revenue Cycle Manager
Phone
(832) 930-9819

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

2385 W Bellfort Ave.
Ste 100
Houston, TX 77054

Mailing address

2385 W Bellfort Ave.
Ste. 100
Houston, TX 77054-5001
Phone (713) 497-5335

Other practice location 1

705 S Fry Rd Ste 100
Katy, TX 77450-2252
Phone (713) 497-5335

Other practice location 2

1501 River Pointe Dr Ste 100
Conroe, TX 77304-2860
Phone (713) 497-5335

Other practice location 3

9230 Kirby Dr Ste 100
Houston, TX 77054-2541
Phone (713) 497-5335

Other names 1

  • LYMPHEDEMA THERAPY SPECIALISTS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191106001489 TX Part B Supplier - Clinic/Group Practice 4183956451 Receives reassigned benefits from 9 practitioners
Practice locations: Katy, TX; Houston, TX; Conroe, TX
O20200804003715 TX DME Supplier - Physician - Unknown Physician Specialty 4183956451 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Lymphedema Therapy Specialists Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2385 W Bellfort Ave
Houston, TX 77054
Phone (713) 322-1212

2385 W Bellfort Ave
#100
Houston, TX 77054

2385 W Bellfort Ave
Ste 100
Houston, TX 77054
Phone (713) 497-5335

Practitioners & affiliated clinicians

Practitioners 9

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": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1578104352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 W BELLFORT AVE.",
            "address_2": "STE. 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545001",
            "telephone_number": "713-497-5335",
            "fax_number": "833-891-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 W BELLFORT AVE.",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-497-5335",
            "fax_number": "833-891-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 S Fry Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774502252",
            "country_code": "US",
            "telephone_number": "713-497-5335",
            "fax_number": "833-891-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 River Pointe Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042860",
            "country_code": "US",
            "telephone_number": "713-497-5335",
            "fax_number": "833-891-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9230 Kirby Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542541",
            "country_code": "US",
            "telephone_number": "713-497-5335",
            "fax_number": "833-891-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYMPHEDEMA THERAPY SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "832-930-9819"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYMPHEDEMA THERAPY SPECIALISTS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 5, 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.