Organization Active NPI

Encore Physical Therapy LLC

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1790498947
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ENCORE PHYSICAL THERAPY LLC
Practice address
1219 Museum Square Dr Ste 400
Sugar Land, TX 77479-7056
Phone
(832) 615-4865
Fax
(832) 615-4866
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Shafeen Dhuka, PTNPI 1952990590
Title
Clinical Director
Phone
(832) 615-4865

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1219 Museum Square Dr Ste 400
Sugar Land, TX 77479-7056

Mailing address

1219 Museum Square Dr Ste 400
Sugar Land, TX 77479-7056
Phone (832) 615-4865

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Others Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230309002747 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769855873 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

1219 Museum Square Dr
Ste 400
Sugar Land, TX 77479
Phone (832) 615-4865

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1790498947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MUSEUM SQUARE DR STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797056",
            "telephone_number": "832-615-4865",
            "fax_number": "832-615-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MUSEUM SQUARE DR STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797056",
            "telephone_number": "832-615-4865",
            "fax_number": "832-615-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "DHUKA",
        "authorized_official_first_name": "SHAFEEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-615-4865",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Others",
            "affiliation": "N",
            "endpointDescription": "Others",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Others",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1219 Museum Square Dr Ste 400",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774797056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.