Organization Active NPI

Vanguard Rehabilitation Physicians of Texas, PA

  • Physical Medicine & Rehabilitation Physician
  • Katy, TX
National Provider Identifier
1720560642
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P6487 Issued in TX
Legal business name
VANGUARD REHABILITATION PHYSICIANS OF TEXAS, PA
Practice address
633 E Fernhurst Dr Ste 903
Katy, TX 77450-1587
Phone
(713) 259-2968
Fax
(877) 830-9363
NPI assigned
Sep 6, 2018
Last updated
Feb 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Margaret OniNPI 1861622185
Title
MD
Phone
(713) 259-2968

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 P6487 TX Primary

Addresses

Primary practice location

633 E Fernhurst Dr Ste 903
Katy, TX 77450-1587

Mailing address

633 E Fernhurst Dr Ste 903
Katy, TX 77450-1587
Phone (713) 259-2968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181121000402 TX Part B Supplier - Clinic/Group Practice 9032463468 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

25722 Kingsland Blvd
Ste 208
Katy, TX 77494
Phone (713) 259-2968

633 E Fernhurst Dr
Ste 903
Katy, TX 77450
Phone (713) 259-2968

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1720560642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 903",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501587",
            "telephone_number": "713-259-2968",
            "fax_number": "877-830-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 903",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501587",
            "telephone_number": "713-259-2968",
            "fax_number": "877-830-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD REHABILITATION PHYSICIANS OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "ONI",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "713-259-2968"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P6487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.