Active NPI
Southwest Wellness Solutions
Doing business as St Elizabeth Family Care LLC
- Physical Therapy Clinic/Center
- Dickinson, TX
National Provider Identifier
1720504111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2017
- Organization subpart
- Yes
- Parent organization
- ST. ELIZABETH FAMILY CARE, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.