MEDICARE: NEXA THERAPY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0019X	Physical Rehabilitation Occupational Therapist

General Provider Information

NPI Number	:	1720959026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXA THERAPY CENTER LLC

Provider Business Mailing Address
First Line	:	2500 E T C JESTER BLVD STE 285
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 E T C JESTER BLVD STE 285
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1449
Country	:	US
Telephone Number	:	832-278-3039
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KIET TUAN LE
Credential	:	OTR
Telephone Number	:	832-278-3039

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

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Directions to “NEXA THERAPY CENTER LLC ” Practice Location

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