Organization Active NPI

Pearland Therapeutics LLC

  • Rehabilitation Clinic/Center
  • Pearland, TX
National Provider Identifier
1669485058
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PEARLAND THERAPEUTICS LLC
Practice address
8703 Broadway St.
Suite 121
Pearland, TX 77584-8098
Phone
(713) 382-7418
Fax
(713) 436-0433
NPI assigned
Aug 15, 2006
Last updated
Jul 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Joseph M Lao, OTR
Title
Co-Owner, Administrator
Phone
(281) 412-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

8703 Broadway St.
Suite 121
Pearland, TX 77584-8098

Mailing address

8703 Broadway St Ste 121
Pearland, TX 77584-8098
Phone (281) 412-7901

Other identifiers 1

IdentifierTypeStateIssuer
188434801MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1669485058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 BROADWAY ST STE 121",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848098",
            "telephone_number": "281-412-7901",
            "fax_number": "281-412-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 BROADWAY ST.",
            "address_2": "SUITE 121",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848098",
            "telephone_number": "713-382-7418",
            "fax_number": "713-436-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "LAO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "281-412-7901",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188434801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.