Provider Demographics
NPI:1609885912
Name:NEXT STEP PHYSICAL THERAPY
Entity type:Organization
Organization Name:NEXT STEP PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:713-349-8200
Mailing Address - Street 1:4782 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1637
Mailing Address - Country:US
Mailing Address - Phone:713-349-8200
Mailing Address - Fax:713-349-9810
Practice Address - Street 1:4782 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1637
Practice Address - Country:US
Practice Address - Phone:713-349-8200
Practice Address - Fax:713-349-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658210000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDF0674Medicare PIN
TX00W420Medicare PIN