Organization Active NPI

Vista Therapeutic LLC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1609574904
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VISTA THERAPEUTIC LLC
Practice address
11301 Richmond Ave Ste K109
Houston, TX 77082-5549
Phone
(832) 328-5350
Fax
(346) 571-6898
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Mr. Hakeem A Yusuf
Title
Administrator/Manager
Phone
(832) 576-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11301 Richmond Ave Ste K109
Houston, TX 77082-5549

Mailing address

11301 Richmond Ave Ste K109
Houston, TX 77082-5549
Phone (832) 328-5350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1609574904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 RICHMOND AVE STE K109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825549",
            "telephone_number": "832-328-5350",
            "fax_number": "346-571-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 RICHMOND AVE STE K109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825549",
            "telephone_number": "832-328-5350",
            "fax_number": "346-571-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA THERAPEUTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "HAKEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "832-576-7579",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "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 Mar 13, 2023; 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.