Vibralife of Katy, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VIBRALIFE OF KATY, LLC

Practice address

1222 Park West Green Dr
Katy, TX 77493-3654

Phone

(717) 591-5700

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Michael Beaver

Title

President

Phone

(717) 591-5704

Specialties & licenses 1

Addresses

Other names 1

• VibraLife of Katy Rehabilitation Center Doing business as

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1679075972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LENA DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554904",
            "telephone_number": "717-591-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 PARK WEST GREEN DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933654",
            "telephone_number": "717-591-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRALIFE OF KATY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-591-5704"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VibraLife of Katy Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Katy, TX
• Providers in Katy, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.