Phgtx Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PHGTX INC.

Doing business as

PHGTX Inc.

Practice address

211 E 7TH St Ste 620
Austin, TX 78701-3218

Phone

(855) 459-9958

Fax

(305) 930-7435

NPI assigned

Mar 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Robert Niznik

Title

Ceo

Phone

(786) 709-5442

Specialties & licenses 3

Addresses

Other names 1

• PHGTX Inc. Doing business as

Locations

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1770087637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NW 167TH ST STE 391",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695100",
            "telephone_number": "855-459-9958",
            "fax_number": "305-930-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH ST STE 620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013218",
            "telephone_number": "855-459-9958",
            "fax_number": "305-930-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHGTX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "NIZNIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-709-5442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHGTX Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PHCC-Riverside Rehabilitation and Health Care Center, LLC (Riverside Rehabilitation and Health Care Center)
• PHCC-West Oaks Rehabilitation & Health Care Center Austin, LLC (West Oaks Rehabilitation & Healthcare Center)
• Emily Phelps, MA
• Gregory Phelps
• Lisa Marie Phelps
• Jennifer Philbrook
• Anjana Philip, M.D.
• Anne Phillippe
• Akilah Nisaa Phillips, MS, RD, CSSD
• Amber L Phillips

• Substance Use Disorder Rehabilitation Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.