Organization Active NPI

Pinnacle Therapy PC

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1962453258
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1149730 Issued in TX
Legal business name
PINNACLE THERAPY PC
Practice address
2400 Augusta Dr Ste 155
Houston, TX 77057-4922
Phone
(713) 622-2929
Fax
(713) 622-2922
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Mr. Antonino Edmond Iannello, PTNPI 1255380812
Title
President Physical Therapist
Phone
(713) 622-2929

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1149730 TX Primary

Addresses

Primary practice location

2400 Augusta Dr Ste 155
Houston, TX 77057-4922

Mailing address

2400 Augusta Dr Ste 155
Houston, TX 77057-4922
Phone (713) 622-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090427000400 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800890781 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2400 Augusta Dr
Ste 155
Houston, TX 77057
Phone (713) 622-2929

Practitioners & affiliated clinicians

Practitioners 3

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1962453258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AUGUSTA DR STE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574922",
            "telephone_number": "713-622-2929",
            "fax_number": "713-622-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AUGUSTA DR STE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574922",
            "telephone_number": "713-622-2929",
            "fax_number": "713-622-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "IANNELLO",
        "authorized_official_first_name": "ANTONINO",
        "authorized_official_middle_name": "EDMOND",
        "authorized_official_title_or_position": "PRESIDENT PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "713-622-2929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1149730",
            "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 Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.