ACTIV REHAB AND WELLNESS (NPI# 1679007975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679007975 |
| Entity Type | Organization |
| Organization Name | ACTIV REHAB AND WELLNESS |
| Practice Address |
3773 Richmond Ave Suite 540 Houston TX 77046-3703 |
| Practice Telephone | 8322633210 |
| Practice Fax Number | 8449659064 |
| Mailing Telephone | 8322633210 |
| Mailing Fax Number | 8449659064 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | DR. THOMAS LE (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 8322633210 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
12269 | TX | Chiropractic Providers |
| Street Address |
3773 RICHMOND AVE SUITE 540 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77046-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316235500 | Candice Aycox | Nurse Practitioner | 9 East Greenway Plaza, Suite 2950, Houston, TX 77046 | 2011-07-21 |
| 1124355052 | Susan Cooley King | Nurse Practitioner | 9 Greenway Plaza, Suite 2950, Houston, TX 77046 | 2009-11-13 |
| 1750348348 | Karen Hill | Internal Medicine | 9 Greenway Plaza, Suite 2950, Rediclinic, Houston, TX 77046 | 2006-04-27 |
| 1659365195 | Jaime F Recasens | Dermatology | 24 Greenway Plaza, Suite 950 Weslayan Tower, Houston, TX 77046 | 2005-09-09 |
| 1811060411 | Nanette S Stephens | Psychologist | 24 Greenway Plaza, Suite 1703, Houston, TX 77046 | 2006-11-15 |
| 1598154320 | Baylor College of Medicine | Anesthesiology | Two Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2015-01-16 |
| 1801291919 | Baylor College of Medicine | Anesthesiology | 2 Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2014-10-31 |
| 1629473731 | Baylor College of Medicine | Anesthesiology | 2 Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2014-10-31 |
| 1447386446 | Amanda Nell Gunn | Nurse Anesthetist, Certified Registered | 2 Greenway Plz Ste 300, Houston, TX 77046-0207 | 2007-02-26 |
| 1457507931 | Athis Arunachalam | Pediatrics | 2 Greenway Plz Ste 300, Houston, TX 77046-0207 | 2008-08-15 |
| Find all providers in zip 77046 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806819 | Dannug Management, LLC | Chiropractor | 9720 Cypresswood Dr Ste 130, Houston, TX 77070-3557 | 2020-06-24 |
| 1942821368 | Stark Chiropractic & Sports, Pllc | Chiropractor | 5625 Fm 1960 Rd W Ste 400, Houston, TX 77069-4211 | 2020-04-27 |
| 1467001958 | Catalyst Hl&p, LLC. | Chiropractor | 5177 Richmond Ave Ste 110, Houston, TX 77056-6764 | 2019-09-06 |
| 1487219101 | Moriam Adigun | Chiropractor | 747 N Shepherd Dr, Houston, TX 77007-1335 | 2019-05-08 |
| 1083079230 | Brittsny Hill | Chiropractor | 16458 Cavendish Dr, Houston, TX 77059-4713 | 2015-12-15 |
| 1407097173 | Daniel Wayne Dewalch | Chiropractor | 4295 San Felipe St, #230, Houston, TX 77027-2942 | 2009-03-10 |
| 1629219365 | John David Hasenbank | Chiropractor | 4295 San Felipe St Ste 230, Houston, TX 77027-2915 | 2009-03-10 |
| 1619126356 | Houston Pro Medical Group | Chiropractor | 12539 Perry Rd, Houston, TX 77070-5038 | 2008-09-18 |
| 1396914081 | Rock Sports & Spine Therapy Pllc | Chiropractor | 14690 Memorial Dr, Houston, TX 77079-7518 | 2008-02-27 |
| 1750503108 | Midland Health Associates | Chiropractor | 4544 Post Oak Place Dr Ste 287, Houston, TX 77027-3104 | 2007-05-03 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.