Phenomenal Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1141141 Issued in TX

Legal business name

PHENOMENAL REHAB, LLC

Practice address

807 S Friendswood Dr
Suite #1
Friendswood, TX 77546-4583

Phone

(832) 221-8199

Fax

(281) 992-4397

NPI assigned

Jun 14, 2008

Organization subpart

No

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

Authorized official

Name

Jamilla M Dowe, PT, DPT, MBA

Title

Administrator

Phone

(832) 221-8199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1831359611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S FRIENDSWOOD DR",
            "address_2": "SUITE #1",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464583",
            "telephone_number": "832-221-8199",
            "fax_number": "281-992-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S FRIENDSWOOD DR",
            "address_2": "SUITE #1",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464583",
            "telephone_number": "832-221-8199",
            "fax_number": "281-992-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-14",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "DOWE",
        "authorized_official_first_name": "JAMILLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-221-8199",
        "authorized_official_credential": "PT, DPT,  MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1141141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Peterson
• Savannah Peterson, OD
• Kacey Jordan Petrash, LPC
• Sarah Pfeiler
• Cassandra Tess Phea
• Phenix Philbert
• Robina Lukose Philip, PT
• Philomena Ukwade MD, PA
• Phlebotomy Firm
• Kayla Simone Pierre

• Physical Therapist in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.