Organization Active NPI

Express Rehab LLC

  • Rehabilitation Clinic/Center
  • Houston, TX
National Provider Identifier
1750862074
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EXPRESS REHAB LLC
Practice address
6301 Richmond Ave Ste 110
Houston, TX 77057
Phone
(713) 679-0003
NPI assigned
Aug 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Mark Levenson
Title
Ceo
Phone
(713) 679-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

6301 Richmond Ave Ste 110
Houston, TX 77057

Mailing address

6301 Richmond Ave Ste 110
Houston, TX 77057-5905

Other identifiers 1

IdentifierTypeStateIssuer
000OtherCREDENTIALING IN PROCESS

National Provider Directory

National Provider Directory

Locations

6301 Richmond Ave
Ste 110
Houston, TX 77057
Phone (713) 357-5122

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1750862074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 RICHMOND AVE STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 RICHMOND AVE STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77057",
            "telephone_number": "713-679-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "LEVENSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-679-0003"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREDENTIALING IN PROCESS",
            "identifier": "000",
            "state": null
        }
    ],
    "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 Aug 30, 2018; 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.