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General NPI Number Information
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NPI Number | 1770023756
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Entity Type | Organization
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Legal Business Name | NEXT LEVEL PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1110 KINGWOOD DR STE 245
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City | KINGWOOD
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State | TX
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Zip | 77339-3099
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Country | US
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Telephone | 281-888-0047
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Fax | 281-721-4023
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Provider Business Mailing Address
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Address Line | 1110 KINGWOOD DR STE 245
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City | KINGWOOD
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State | TX
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Zip | 77339-3099
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Country | US
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Telephone | 281-888-0047
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Fax | 281-721-4023
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Authorized Official
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Title or Position | CEO
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Name | JACK WONG
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Credential |
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Telephone | 281-888-0047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 1277238
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License Number State | TX
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