Health Club At Travis Place is a medicare enrolled "Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)" provider in Houston, Texas. Their current practice location is
1010 Travis St Ste 800, Houston, Texas. You can reach out to their office (for appointments etc.) via phone at
(281) 940-9423.
Health Club At Travis Place is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Health Club At Travis Place
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1679169247.
Healthcare Provider's Profile
| Full Name | Health Club At Travis Place |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
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| Location | 1010 Travis St Ste 800, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679169247
- Provider Enumeration Date: 12/17/2020
- Last Update Date: 03/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436568193
- Enrollment ID: O20220725000687
Medical Identifiers
Medical identifiers for Health Club At Travis Place such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679169247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Health Club At Travis Place acts as a billing entity for following providers:
| Provider Name | Teresa A Atkinson |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1538151618
PECOS PAC ID: 8628035243
Enrollment ID: I20041216000123 |
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| Provider Name | Keith Wade Pesnell |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1194760371
PECOS PAC ID: 7416912118
Enrollment ID: I20060505000773 |
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| Provider Name | Perlalita Sulit |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1982763199
PECOS PAC ID: 4183752363
Enrollment ID: I20110607000066 |
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| Provider Name | Mark Ikechukwu Agholor |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1952999559
PECOS PAC ID: 3375948458
Enrollment ID: I20210827001467 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Health Club At Travis Place is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Health Club At Travis Place
2900 Weslayan St Ste 545,
Houston, TX 77027-5369
Ph: (281) 940-9423 | Health Club At Travis Place
1010 Travis St Ste 800,
Houston, TX 77002-5928
Ph: (281) 940-9423 |
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