Organization Active NPI

Activ Rehab and Wellness

  • Sports Physician Chiropractor
  • Houston, TX
National Provider Identifier
1679007975
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
12269 Issued in TX
Legal business name
ACTIV REHAB AND WELLNESS
Practice address
3773 Richmond Ave
Suite 540
Houston, TX 77046-3703
Phone
(832) 263-3210
Fax
(844) 965-9064
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Dr. Thomas Le, D.C.NPI 1801226014
Title
Owner/Chiropractor
Phone
(832) 263-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 12269 TX Primary

Addresses

Primary practice location

3773 Richmond Ave
Suite 540
Houston, TX 77046-3703

Mailing address

3773 Richmond Ave
Suite 540
Houston, TX 77046-3703
Phone (832) 263-3210

National Provider Directory

National Provider Directory

Locations

3773 Richmond Ave
Ste 540
Houston, TX 77046
Phone (832) 263-3210

Practitioners & affiliated clinicians

Practitioners 1

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": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1679007975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 RICHMOND AVE",
            "address_2": "SUITE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770463703",
            "telephone_number": "832-263-3210",
            "fax_number": "844-965-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 RICHMOND AVE",
            "address_2": "SUITE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770463703",
            "telephone_number": "832-263-3210",
            "fax_number": "844-965-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIV REHAB AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "832-263-3210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "12269",
            "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 Apr 13, 2017; 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.