Provider Demographics
NPI:1689146318
Name:RIVER OAKS PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:RIVER OAKS PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MALAKAPPA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-940-9423
Mailing Address - Street 1:2900 WESLAYAN ST STE 545
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5369
Mailing Address - Country:US
Mailing Address - Phone:281-940-9423
Mailing Address - Fax:713-969-4834
Practice Address - Street 1:2900 WESLAYAN ST STE 545
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5369
Practice Address - Country:US
Practice Address - Phone:281-940-9423
Practice Address - Fax:713-969-4834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy