NPIMap

Organization Active NPI

Pain & Rehab Services of the SW

  • Rehabilitation Clinic/Center
  • Baytown, TX
National Provider Identifier
1972042489
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PAIN & REHAB SERVICES OF THE SW
Practice address
4308 Garth Rd Ste C
Baytown, TX 77521-3114
Phone
(281) 837-3757
Fax
(281) 837-7501
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Shannon Ree Boyer, PHD
Title
Owner
Phone
(281) 837-3757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4308 Garth Rd Ste C
Baytown, TX 77521-3114

Mailing address

4308 Garth Rd Ste C
Baytown, TX 77521-3114
Phone (281) 837-3757

Other names 1

  • WELLQUEST REHAB Other name

National Provider Directory

National Provider Directory
Tax ID family
Pain Rehab Services of the SW3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1972042489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 GARTH RD STE C",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213114",
            "telephone_number": "281-837-3757",
            "fax_number": "281-837-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 GARTH RD STE C",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213114",
            "telephone_number": "281-837-3757",
            "fax_number": "281-837-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & REHAB SERVICES OF THE SW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "REE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-837-3757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLQUEST REHAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.