The Secret Physical Therapy and Wellness Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE SECRET PHYSICAL THERAPY AND WELLNESS CENTER LLC

Practice address

4101 Greenbriar St Ste 100
Houston, TX 77098-5244

Phone

(713) 240-0677

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Roderick Fleeks

Title

Principal

Phone

(713) 240-0677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1760917165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6 STE 230-452",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "713-240-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985244",
            "telephone_number": "713-240-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SECRET PHYSICAL THERAPY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "FLEEKS",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "713-240-0677"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.