Active NPI
Prohealth DME LLC
- Orthopaedic Surgery Physician
- Manor, TX
National Provider Identifier
1861315053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PROHEALTH DME LLC
- Practice address
- 13904 Theodore Roosevelt St # T
Manor, TX 78653-3433 - Phone
- (818) 336-1291
- NPI assigned
- Aug 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arslan Imtiaz
- Title
- Owner
- Phone
- (818) 336-3364
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X |
Addresses
Primary practice location
13904 Theodore Roosevelt St # T
Manor, TX 78653-3433
Mailing address
13904 Theodore Roosevelt St # T
Manor, TX 78653-3433
National Provider Directory
National Provider Directory- Tax ID family
- Healthtech Supplies LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Manor, TX
- NPI 1396679957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1861315053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13904 THEODORE ROOSEVELT ST # T",
"city": "MANOR",
"state": "TX",
"postal_code": "786533433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13904 THEODORE ROOSEVELT ST # T",
"city": "MANOR",
"state": "TX",
"postal_code": "786533433",
"telephone_number": "818-336-1291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH DME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "IMTIAZ",
"authorized_official_first_name": "ARSLAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-336-3364"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.