Active NPI
Manoj G. Mehta, PT
- Physical Therapist
- Houston, TX
National Provider Identifier
1902171432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1039170
- Practice address
- 6100 Corporate Dr
Suite 270
Houston, TX 77036-3419 - Phone
- (713) 270-5375
- Fax
- (713) 270-5718
- NPI assigned
- Mar 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1039170 | TX | Primary |
Addresses
Primary practice location
6100 Corporate Dr
Suite 270
Houston, TX 77036-3419
Mailing address
PO Box 742685
Houston, TX 77274-2685
Phone (713) 270-5375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Ambulance, LLC | Past | Accepting new patients | |
| Legend Rehab Center LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Land Ambulance
- Houston, TX
- NPI 1538305388
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Houston, TX
- NPI 1265649735
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1902171432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742685",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772742685",
"telephone_number": "713-270-5375",
"fax_number": "713-270-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 CORPORATE DR",
"address_2": "SUITE 270",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363419",
"telephone_number": "713-270-5375",
"fax_number": "713-270-5718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "MANOJ",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-16",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1039170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.