Blue Lagune Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BLUE LAGUNE THERAPY, INC

Practice address

1115 Avenue D
Katy, TX 77493-2465

Phone

(281) 712-4835

Fax

(832) 437-5709

NPI assigned

May 5, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trisha Biasotti

Title

Ceo

Phone

(713) 376-1343

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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.

• Preethi Suresh, PT

  • Physical Therapist
  • Katy, TX
  • NPI 1023770831
  Medicare reassignment NPD
• Matthew Wiseman, DPT,PT

  • Physical Therapist
  • Fulshear, TX
  • NPI 1184929168
  Medicare reassignment NPD
• Christopher Ryan Camba, PT

  • Physical Therapist
  • Katy, TX
  • NPI 1336009497
  Medicare reassignment

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699152074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 AVENUE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77493",
            "telephone_number": "281-712-4835",
            "fax_number": "832-437-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 AVENUE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932465",
            "telephone_number": "281-712-4835",
            "fax_number": "832-437-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LAGUNE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BIASOTTI",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-376-1343"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Robbins Blokkum, CNM, IBCLC
• Blood Pressure Institute of America PLLC
• Bloom & Rise Therapy PLLC
• Hannah Bloxom
• Blu Lane Enterprise LLC (Blu Lane Pharmacy)
• Blue Moon Therapy, PLLC
• Blue Shield Medical Supplies & Transportation, Inc
• Blue Star Hospice, Inc
• Blue Zone Health Medical - Katy, PLLC (BluVida Precision Health & Wellness)
• Ebony Johnson Blue, LMHC

• Physical Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.