Active NPI
Brain Injury Rehab Doc LLC
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Houston, TX
National Provider Identifier
1578477477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- BRAIN INJURY REHAB DOC LLC
- Practice address
- 1412 Harold St Unit B
Houston, TX 77006-3730 - Phone
- (732) 939-4062
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harsha Ayyala
- Title
- Owner
- Phone
- (732) 939-4062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | NU | Primary |
Addresses
Primary practice location
1412 Harold St Unit B
Houston, TX 77006-3730
Mailing address
1412 Harold St Unit B
Houston, TX 77006-3730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1578477477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 HAROLD ST UNIT B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770063730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 HAROLD ST UNIT B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770063730",
"telephone_number": "732-939-4062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAIN INJURY REHAB DOC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "AYYALA",
"authorized_official_first_name": "HARSHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-939-4062"
},
"taxonomies": [
{
"code": "2081P0301X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": "NU",
"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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.