Active NPI
Island Health Center, P.a.
- Rehabilitation Chiropractor
- Galveston, TX
National Provider Identifier
1932328986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC4392
- Legal business name
- ISLAND HEALTH CENTER, P.A.
- Practice address
- 4623 Fort Crockett Blvd
Galveston, TX 77551-5962 - Phone
- (409) 762-7646
- Fax
- (409) 762-9223
- NPI assigned
- Apr 25, 2007
- 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
- Dr. Lori L Antman, D.C.
- Title
- Registered Agent
- Phone
- (409) 762-7646
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC4392 | TX | Primary |
| Occupational Medicine Clinic/Center | 261QX0100X | K6521 | TX |
Addresses
Primary practice location
4623 Fort Crockett Blvd
Galveston, TX 77551-5962
Mailing address
4623 Fort Crockett Blvd
Galveston, TX 77551-5962
Phone (409) 762-7646
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC4392 | Other | TX | LICENSE |
| 8H8092 | Other | TX | BLUE CROSS BLUESHIELD |
| 1629102231 | Other | TX | NPI 1 |
| 8H8091 | Other | TX | BLUE CROSS BLUE SHIELD |
| K6521 | Other | TX | LICENSE |
National Provider Directory
National Provider DirectoryLocations
4623 Fort Crockett Blvd
Galveston, TX 77551
Phone (409) 762-7646
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Galveston, TX
- NPI 1629102231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1932328986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 FORT CROCKETT BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775515962",
"telephone_number": "409-762-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 FORT CROCKETT BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775515962",
"telephone_number": "409-762-7646",
"fax_number": "409-762-9223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND HEALTH CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ANTMAN",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "409-762-7646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "DC4392",
"primary": true
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "TX",
"license": "K6521",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "DC4392",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUESHIELD",
"identifier": "8H8092",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1",
"identifier": "1629102231",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8H8091",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "K6521",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.