Provider Demographics
NPI:1033206537
Name:GOOD SHEPHERD PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:GOOD SHEPHERD PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KAI YUEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:281-497-2899
Mailing Address - Street 1:14900 WESTHEIMER ROAD
Mailing Address - Street 2:SUITE R
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1625
Mailing Address - Country:US
Mailing Address - Phone:281-497-2899
Mailing Address - Fax:281-497-1516
Practice Address - Street 1:14900 WESTHEIMER ROAD
Practice Address - Street 2:SUITE R
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1625
Practice Address - Country:US
Practice Address - Phone:281-497-2899
Practice Address - Fax:281-497-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1028629225100000X
TX225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX800T78Medicare ID - Type Unspecified