Pit Stop Rehab, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

657250000 Issued in TX

Legal business name

PIT STOP REHAB, LLC

Practice address

119 N College Ave
Cleveland, TX 77327

Phone

(281) 592-3008

Fax

(281) 592-3003

NPI assigned

Feb 11, 2008

Last updated

May 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin J Kelly, PTNPI 1821006438

Title

PT

Phone

(281) 592-3008

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin J Kelly, PT, MS

  • Physical Therapist
  • Cleveland, TX
  • NPI 1821006438
  Authorized official Same address or phone

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1912175118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N COLLEGE AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274005",
            "telephone_number": "281-592-3008",
            "fax_number": "281-592-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N COLLEGE AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "77327",
            "telephone_number": "281-592-3008",
            "fax_number": "281-592-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIT STOP REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "281-592-3008",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "657250000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177741901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0055MR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dhaval J Patel
• Nirzari Patel
• Nancy John Perera, RPH
• Lynne Darlene Piascik, FNP-C
• Pit Shop Rehab, LLC
• Pit Stop Rehab,LLC
• Laura Elizabeth Pizzolato, RPH
• Premier Cardiovascular Consultants PC
• Prime Medic Network, PLLC (Prime Medic Urgent Care)
• Prime Medic, P.a.

• Physical Therapy Clinic/Center in Cleveland, TX
• Providers in Cleveland, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.