Advanced Stroke Rehabilitation in Houston LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ADVANCED STROKE REHABILITATION IN HOUSTON LLC

Practice address

3402 Grace Haven LN
Houston, TX 77080-2765

Phone

(559) 430-5790

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer PondocNPI 1013346147

Title

Occupational Therapist

Phone

(559) 430-5790

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Pondoc, OTR/L

  • Occupational Therapist
  • Fresno, CA
  • NPI 1013346147
  NPD Authorized official

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1710746565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 GRACE HAVEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 GRACE HAVEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802765",
            "telephone_number": "559-430-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED STROKE REHABILITATION IN HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "PONDOC",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "559-430-5790"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Spinal Treatment Center
• Advanced Surgeons & Physicians Network, Inc.
• Advanced Surgical Wellness
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• Advanced Ultrasound Imaging PLLC
• Advanced US Radiology

• Occupational Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.