NPIMap

Organization Active NPI

Lakshmiba LLC

Doing business as Health Club at Travis Place

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Houston, TX
National Provider Identifier
1679169247
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
LAKSHMIBA LLC
Doing business as
Health Club at Travis Place
Practice address
1010 Travis St Ste 800
Houston, TX 77002-5928
Phone
(281) 940-9423
Fax
(713) 969-4834
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Shashi M Patil
Title
Manager
Phone
(832) 212-7767

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Athletic TrainerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2255A2300X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1010 Travis St Ste 800
Houston, TX 77002-5928

Mailing address

2900 Weslayan St Ste 545
Houston, TX 77027-5369
Phone (281) 940-9423

Other practice location 1

2900 Weslayan St Ste 545
Houston, TX 77027-5369
Phone (281) 940-9423

Other names 1

  • Health Club at Travis Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220725000687 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436568193 Receives reassigned benefits from 5 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1010 Travis St
Ste 800
Houston, TX 77002
Phone (281) 940-9423

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1679169247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WESLAYAN ST STE 545",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275369",
            "telephone_number": "281-940-9423",
            "fax_number": "713-969-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 TRAVIS ST STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770025928",
            "telephone_number": "281-940-9423",
            "fax_number": "713-969-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Weslayan St Ste 545",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770275369",
            "country_code": "US",
            "telephone_number": "281-940-9423",
            "fax_number": "713-969-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKSHMIBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-212-7767"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Club at Travis Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Club at Travis Place",
            "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 Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.