=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396545463
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PARAMOUNT PELVIC REHAB LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2025
-----------------------------------------------------
Last Update Date | 06/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7575 SAN FELIPE ST STE 125A
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77063-1711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-270-5900
-----------------------------------------------------
Fax | 713-270-5910
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7575 SAN FELIPE ST STE 125A
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77063-1711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-270-5900
-----------------------------------------------------
Fax | 713-270-5911
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ALIREZA HASHEMI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-270-5900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------