Organization Active NPI

Vernon Enterprise, LLC

Doing business as Fyzical Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Kingwood, TX
National Provider Identifier
1710743794
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VERNON ENTERPRISE, LLC
Doing business as
Fyzical Therapy and Balance Centers
Practice address
2300 Green Oak Dr Ste 150
Kingwood, TX 77339-2038
Phone
(832) 533-2473
Fax
(832) 533-8348
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Heather Olana Taylor Vernon
Title
Owner
Phone
(662) 549-3948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2300 Green Oak Dr Ste 150
Kingwood, TX 77339-2038

Mailing address

8190 Barker Cypress Rd Ste 1900-512
Cypress, TX 77433-1223
Phone (832) 533-2473

Other names 1

  • FYZICAL THERAPY AND BALANCE CENTERS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240422000992 TX Part B Supplier - Clinic/Group Practice 6305285511 Receives reassigned benefits from 2 practitioners
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

8190 Barker Cypress Rd
Ste 1900512
Cypress, TX 77433

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1710743794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 BARKER CYPRESS RD STE 1900-512",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331223",
            "telephone_number": "832-533-2473",
            "fax_number": "832-533-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GREEN OAK DR STE 150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392038",
            "telephone_number": "832-533-2473",
            "fax_number": "832-533-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "OLANA TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-549-3948"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL THERAPY AND BALANCE CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.