Organization Active NPI

Houston Pro Medical Group

  • Sports Physical Therapist
  • Houston, TX
National Provider Identifier
1619126356
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
1160378 Issued in TX
Legal business name
HOUSTON PRO MEDICAL GROUP
Doing business as
Ollin Athletics and Sports Medicine
Practice address
12539 Perry Rd
Houston, TX 77070-5038
Phone
(832) 810-0274
Fax
(832) 810-0276
NPI assigned
Sep 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Dr. Minh The Luu, D.C.
Title
Director of Sports Medicine
Phone
(281) 804-9096

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 9027 TX
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X 1160378 TX Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 2056716 TX

Addresses

Primary practice location

12539 Perry Rd
Houston, TX 77070-5038

Mailing address

12539 Perry Rd
Houston, TX 77070-5038
Phone (281) 499-7539

Other names 1

  • Ollin Athletics and Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

12539 Perry Rd
Houston, TX 77070
Phone (281) 890-7539

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1619126356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12539 PERRY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705038",
            "telephone_number": "281-499-7539",
            "fax_number": "281-499-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12539 PERRY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705038",
            "telephone_number": "832-810-0274",
            "fax_number": "832-810-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PRO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "THE",
        "authorized_official_title_or_position": "DIRECTOR OF SPORTS MEDICINE",
        "authorized_official_telephone_number": "281-804-9096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "9027",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1160378",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2056716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ollin Athletics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2015; 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.