Provider Demographics
NPI:1043228695
Name:HOPE REHAB KATY OPERATING, LTD
Entity Type:Organization
Organization Name:HOPE REHAB KATY OPERATING, LTD
Other - Org Name:HOPE REHAB KATY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:BOYETT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:281-944-0001
Mailing Address - Street 1:21938 ROYAL MONTREAL DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5142
Mailing Address - Country:US
Mailing Address - Phone:281-944-0001
Mailing Address - Fax:281-944-0002
Practice Address - Street 1:21938 ROYAL MONTREAL DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5142
Practice Address - Country:US
Practice Address - Phone:281-944-0001
Practice Address - Fax:281-944-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65607000225100000X
TX552910000225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3500307OtherCIGNA PROVIDER ID
TX5681802OtherFIRST HEALTH PROVIDER ID
TX0038MXOtherBLUE CROSS BLUE SHIELD
TX3500307OtherCIGNA PROVIDER ID