Organization Active NPI

Lymphedema Institute, Inc.

Doing business as Lymphedema Treatment Centers of America

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1699070672
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LYMPHEDEMA INSTITUTE, INC.
Doing business as
Lymphedema Treatment Centers of America
Practice address
550 Westcott St
470
Houston, TX 77007
Phone
(713) 526-7926
Fax
(713) 864-7928
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Dr. Joey Adolf, DC
Title
President
Phone
(713) 526-7926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 102359 TX
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

550 Westcott St
470
Houston, TX 77007

Mailing address

PO Box 84230
Pearland, TX 77584-0015

Other practice location 1

755 S 11th St
Beaumont, TX 77701-3732
Phone (409) 838-9080

Other practice location 2

1800 W 26th St
Houston, TX 77008-1450
Phone (713) 862-9300

Other identifiers 2

IdentifierTypeStateIssuer
00S5S8OtherTXBCBS
145602203OtherTXDR SHARE - MEDICAID

Other names 1

  • Lymphedema Treatment Centers of America Doing business as

National Provider Directory

National Provider Directory

Locations

4011 Richmond Ave
Houston, TX 77027
Phone (713) 526-7926

550 Westcott St
Ste 470
Houston, TX 77007
Phone (713) 526-7926

10023 Main St
Ste C8
Houston, TX 77025
Phone (713) 432-7926

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1699070672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84230",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WESTCOTT ST",
            "address_2": "470",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "713-526-7926",
            "fax_number": "713-864-7928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777013732",
            "country_code": "US",
            "telephone_number": "409-838-9080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081450",
            "country_code": "US",
            "telephone_number": "713-862-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYMPHEDEMA INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "ADOLF",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-526-7926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102359",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00S5S8",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR SHARE - MEDICAID",
            "identifier": "145602203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lymphedema Treatment Centers of America",
            "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 Jul 9, 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.