Organization Active NPI

Houston Physical Medicine Associates P a

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1669698080
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HOUSTON PHYSICAL MEDICINE ASSOCIATES P A
Practice address
6776 Southwest Fwy
Suite 400
Houston, TX 77074-2107
Phone
(713) 272-8884
Fax
(713) 272-0898
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Mr. Dinker G Amatya
Title
Ceo
Phone
(713) 773-4348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X TX Primary

Addresses

Primary practice location

6776 Southwest Fwy
Suite 400
Houston, TX 77074-2107

Mailing address

6776 Southwest Fwy
Suite 450
Houston, TX 77074-2107
Phone (713) 773-4348

Other names 1

  • Texas Medical Rehabilitation & Pain Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000575 TX Part B Supplier - Clinic/Group Practice 7113112897 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1098678Texas Medical Rehabilitation & Pain Center6776 Southwest Freeway, Suite 407, Houston, TX 77074Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

Locations

6776 Southwest Fwy
#407
Houston, TX 77074
Phone (713) 272-8884

Practitioners & affiliated clinicians

Practitioners 3

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1669698080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FWY",
            "address_2": "SUITE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742107",
            "telephone_number": "713-773-4348",
            "fax_number": "713-773-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FWY",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742107",
            "telephone_number": "713-272-8884",
            "fax_number": "713-272-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PHYSICAL MEDICINE ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "AMATYA",
        "authorized_official_first_name": "DINKER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-773-4348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Medical Rehabilitation & Pain Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Medical Rehabilitation & Pain Center",
            "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 Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.