Organization Active NPI

Fixio Physical Therapy & Recovery Clinic

  • Physical Therapist
  • Pearland, TX
National Provider Identifier
1861141749
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIXIO PHYSICAL THERAPY & RECOVERY CLINIC
Practice address
4102 Veterans Dr
Pearland, TX 77584-2950
Phone
(832) 379-0668
NPI assigned
Mar 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Authorized official

Name
Jedidiah Tan, PTNPI 1114506110
Title
Physical Therapist
Phone
(832) 379-0668

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

4102 Veterans Dr
Pearland, TX 77584-2950

Mailing address

12602 Carlisle Falls CT
Houston, TX 77089-1594
Phone (832) 379-0668

National Provider Directory

National Provider Directory

Locations

4102 Veterans Dr
Pearland, TX 77584
Phone (832) 379-0668

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": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1861141749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 CARLISLE FALLS CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891594",
            "telephone_number": "832-379-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 VETERANS DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842950",
            "telephone_number": "832-379-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIXIO PHYSICAL THERAPY & RECOVERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JEDIDIAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "832-379-0668",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.