Organization Active NPI

Rita S. Glaude, Inc.

  • Physical Rehabilitation Occupational Therapist
  • Rosenberg, TX
National Provider Identifier
1720401433
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Legal business name
RITA S. GLAUDE, INC.
Practice address
117 Lane Dr
Suite 20
Rosenberg, TX 77471-2200
Phone
(281) 238-0303
Fax
(281) 238-0371
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Mrs. Rita S Glaude
Title
Ceo
Phone
(281) 238-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X Primary

Addresses

Primary practice location

117 Lane Dr
Suite 20
Rosenberg, TX 77471-2200

Mailing address

117 Lane Dr
Suite 20
Rosenberg, TX 77471-2200
Phone (281) 238-0303

Other identifiers 1

IdentifierTypeStateIssuer
159569601MedicaidTX

Other names 1

  • Diagnostic Pain Management & Rehab. Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930000014 TX Part B Supplier - Clinic/Group Practice 3577532142 Receives reassigned benefits from 2 practitioners
Practice locations: Rosenberg, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1720401433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LANE DR",
            "address_2": "SUITE 20",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712200",
            "telephone_number": "281-238-0303",
            "fax_number": "281-238-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LANE DR",
            "address_2": "SUITE 20",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712200",
            "telephone_number": "281-238-0303",
            "fax_number": "281-238-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA S. GLAUDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "GLAUDE",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-238-0303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159569601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Pain Management & Rehab. Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

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