Organization Active NPI

Southwest Wellness Solutions

Doing business as St Elizabeth Family Care LLC

  • Physical Therapy Clinic/Center
  • Dickinson, TX
National Provider Identifier
1720504111
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTHWEST WELLNESS SOLUTIONS
Doing business as
St Elizabeth Family Care LLC
Practice address
608 FM 517 Rd W
Dickinson, TX 77539
Phone
(832) 932-7900
Fax
(832) 932-7901
NPI assigned
Aug 17, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. ELIZABETH FAMILY CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Harold Fattigg
Title
Administrator
Phone
(713) 482-4535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

608 FM 517 Rd W
Dickinson, TX 77539

Mailing address

PO Box 1619
Dickinson, TX 77539-1619
Phone (832) 932-7900

Other names 1

  • St Elizabeth Family Care LLC Doing business as

National Provider Directory

National Provider Directory
Part of
St Elizabeth Family Care

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1720504111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1619",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775391619",
            "telephone_number": "832-932-7900",
            "fax_number": "832-932-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "832-932-7900",
            "fax_number": "832-932-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WELLNESS SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. ELIZABETH FAMILY CARE, LLC",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "FATTIGG",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-482-4535"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Family Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Elizabeth Family Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.