Organization Active NPI

Center for Spine, Sports and Rehabilitation Excellence PA

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1720228299
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CENTER FOR SPINE, SPORTS AND REHABILITATION EXCELLENCE PA
Practice address
2100 West Loop S
Suite 150
Houston, TX 77027-3515
Phone
(713) 590-2700
Fax
(713) 590-2702
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Dr. Benoy Benny, M.D.NPI 1558472555
Title
Owner
Phone
(713) 590-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X TX Primary

Addresses

Primary practice location

2100 West Loop S
Suite 150
Houston, TX 77027-3515

Mailing address

2100 West Loop S
Suite 150
Houston, TX 77027-3515
Phone (713) 590-2700

Other names 1

  • CSSARE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090422000299 TX Part B Supplier - Clinic/Group Practice 5799832150 Receives reassigned benefits from 12 practitioners
Practice locations: Sugar Land, TX; Houston, TX
O20130208000273 TX DME Supplier - Physician - General PracticeDME Supplier - Sports Medicine 5799832150 Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

2100 West Loop S
Ste 150
Houston, TX 77027
Phone (713) 590-2700

11811 FM 1960 Rd W
Ste 104A
Houston, TX 77065
Phone (254) 253-2046

23531 Kingsland Blvd
Ste 300C
Katy, TX 77494

20823 Park Row Dr
Ste A
Katy, TX 77449
Phone (281) 348-0400

1111 Highway 6
#S145
Sugar Land, TX 77478

1111 Highway 6
Ste 85
Sugar Land, TX 77478
Phone (713) 590-2700

3130 Grants Lake Blvd
Unit 18888
Sugar Land, TX 77496

1111 Highway 6
Ste 80B
Sugar Land, TX 77478

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1720228299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273515",
            "telephone_number": "713-590-2700",
            "fax_number": "713-590-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273515",
            "telephone_number": "713-590-2700",
            "fax_number": "713-590-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPINE, SPORTS AND REHABILITATION EXCELLENCE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "BENNY",
        "authorized_official_first_name": "BENOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-590-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSSARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 28, 2015; 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.