Healthcare Provider Details

I. General information

NPI: 1306725767
Provider Name (Legal Business Name): SUMMER LEIGH HEGEDUS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 THREADNEEDLE ST STE 150
HOUSTON TX
77079-2913
US

IV. Provider business mailing address

17907 SAINT HELEN CT
SPRING TX
77379-6151
US

V. Phone/Fax

Practice location:
  • Phone: 713-799-2200
  • Fax:
Mailing address:
  • Phone: 713-444-2489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1178598
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: