Provider Demographics
NPI:1952576035
Name:SPORTS INSTITUTE OF PHYSICAL THERAPY
Entity Type:Organization
Organization Name:SPORTS INSTITUTE OF PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-812-8304
Mailing Address - Street 1:7155 ATASCOCITA RD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-5014
Mailing Address - Country:US
Mailing Address - Phone:281-812-8304
Mailing Address - Fax:281-812-8306
Practice Address - Street 1:4801 WILSON RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-1974
Practice Address - Country:US
Practice Address - Phone:281-441-5082
Practice Address - Fax:281-441-5084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX643760000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy