Organization Active NPI

Total Recovery Physical Modality, PC

  • Legal Medicine
  • Houston, TX
National Provider Identifier
1902195373
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
K5571 Issued in TX
Legal business name
TOTAL RECOVERY PHYSICAL MODALITY, PC
Practice address
3007 Caroline St
Houston, TX 77004-2822
Phone
(214) 325-9508
Fax
(713) 533-1408
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Ms. Hazel Ruth Roberts
Title
Manager
Phone
(214) 325-9508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X K5571 TX Primary

Addresses

Primary practice location

3007 Caroline St
Houston, TX 77004-2822

Mailing address

3007 Caroline St
Houston, TX 77004-2822
Phone (214) 325-9508

National Provider Directory

National Provider Directory

Locations

4022 S Buckner Blvd
Dallas, TX 75227
Phone (214) 319-7906

Practitioners & affiliated clinicians

Practitioners 2

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": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1902195373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042822",
            "telephone_number": "214-325-9508",
            "fax_number": "713-533-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042822",
            "telephone_number": "214-325-9508",
            "fax_number": "713-533-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RECOVERY PHYSICAL MODALITY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-325-9508",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "K5571",
            "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 Apr 6, 2011; 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.