Organization Active NPI

Southeast Spine and Rehab

  • Chiropractor
  • Houston, TX
National Provider Identifier
1679104939
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHEAST SPINE AND REHAB
Practice address
8470 Gulf Fwy Ste G
Houston, TX 77017-5026
Phone
(713) 645-3536
Fax
(713) 645-3940
NPI assigned
Jan 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Rachael Hendrikz
Title
Operations Manager
Phone
(713) 645-3536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8470 Gulf Fwy Ste G
Houston, TX 77017-5026

Mailing address

8470 Gulf Fwy Ste G
Houston, TX 77017-5026
Phone (713) 645-3536

Other practice location 1

9000 Southwest Fwy Ste 190
Houston, TX 77074-1517
Phone (713) 772-4445

National Provider Directory

National Provider Directory

Locations

8470 Gulf Fwy
Ste G
Houston, TX 77017
Phone (713) 287-1425

9000 Southwest Fwy
Ste 190
Houston, TX 77074
Phone (713) 772-4445

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": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1679104939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 GULF FWY STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175026",
            "telephone_number": "713-645-3536",
            "fax_number": "713-645-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8470 GULF FWY STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175026",
            "telephone_number": "713-645-3536",
            "fax_number": "713-645-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Southwest Fwy Ste 190",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741517",
            "country_code": "US",
            "telephone_number": "713-772-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEAST SPINE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "HENDRIKZ",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "713-645-3536"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jan 27, 2020; 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.