Individual provider Active NPI

Rachel Standefer, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1720719149
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1360709 Issued in TX
Practice address
12727 Kimberley LN Ste 104
Houston, TX 77024-4060
Phone
(713) 365-9338
Fax
(713) 365-9488
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1360709 TX Primary

Addresses

Primary practice location

12727 Kimberley LN Ste 104
Houston, TX 77024-4060

Mailing address

4009 Bellaire Blvd Ste M
Houston, TX 77025-1168
Phone (713) 839-7800

Other practice location 1

11242 Fm 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone (281) 469-8163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727000339 TX Practitioner - Physical Therapist in Private Practice 6406238252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Therapy Centers Limited Partnership Physical Therapist Current Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince May 26, 2022 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince May 26, 2022 Accepting new patients
Action Therapy Centers Limited Past Accepting new patients
Action Therapy Centers Limited Past Accepting new patients

Locations

11242 FM 1960 Rd W
Ste 104
Houston, TX 77065
Phone (281) 469-8163

4009 Bellaire Blvd
Ste M
Houston, TX 77025
Phone (713) 839-7800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1720719149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BELLAIRE BLVD STE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251168",
            "telephone_number": "713-839-7800",
            "fax_number": "713-839-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244060",
            "telephone_number": "713-365-9338",
            "fax_number": "713-365-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11242 Fm 1960 Rd W Ste 104",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770653635",
            "country_code": "US",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDEFER",
        "first_name": "RACHEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1360709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 17, 2022; 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.