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NPI Code Detail

MEDICARE: MOMENTUM THERAPY CENTER, PLLC

MEDICARE: MOMENTUM THERAPY CENTER, PLLC
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
1103K00000XBehavior Analyst
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist
4251E00000XHome Health Agency
5261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
6261QH0700XHearing and Speech Clinic/Center

General Provider Information

NPI Number : 1972044881
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOMENTUM THERAPY CENTER, PLLC
Provider Business Mailing Address
First Line : 2990 RICHMOND AVE STE 180
Second Line :
City : HOUSTON
State : TX
Zip : 77098-3116
Country : US
Telephone Number : 281-829-0103
Fax Number : 281-962-8130
Provider Business Practice Location Address
First Line : 2990 RICHMOND AVE STE 180
Second Line :
City : HOUSTON
State : TX
Zip : 77098-3116
Country : US
Telephone Number : 281-829-0103
Fax Number : 281-962-8130
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : MARIA ISABEL PELAEZ
Credential : M.S.CCC-SLP
Telephone Number : 281-829-0103
Provider Enumeration Date : 03/10/2017
Last Update Date : 02/11/2025

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Directions to “MOMENTUM THERAPY CENTER, PLLC ” Practice Location

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