804 MEDICAL SUPPLY LLC — NPI 1285542720 (Licensed & Credentialed Physical Medicine & Rehabilitation in HOUSTON, TX)

Plain-English Taxonomy Translation (208100000X)

What Does Taxonomy Code 208100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208100000X translates in plain language to:
"Licensed & Credentialed Physical Medicine & Rehabilitation"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Physical Medicine & Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 804 MEDICAL SUPPLY LLC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic & Prescribing Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1285542720 (NPI-2 Organization / Facility)
Provider / Legal Name	804 MEDICAL SUPPLY LLC
Plain-English Specialty	Licensed & Credentialed Physical Medicine & Rehabilitation NUCC Code: `208100000X` (Physical Medicine & Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11011 S WILCREST DR # G210, HOUSTON, TX, 770994347
Practice Telephone / Fax	Tel: 902-608-6717
Administrative Mailing Address	11011 S WILCREST DR # G210, HOUSTON, TX, 770994347
Enumeration & Last Sync	Enumerated: 2026-08-27 \| Updated: 2026-08-27
Authorized Official	ALEX WILSON (Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11011 S WILCREST DR # G210, HOUSTON, TX, 770994347

🗺️ Open in Google Maps & Parking ⚙️ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`208100000X` — Physical Medicine & Rehabilitation Plain English: Licensed & Credentialed Physical Medicine & Rehabilitation	State: N/A \| License: Verified \| Primary Taxonomy: Yes

804 MEDICAL SUPPLY LLC (NPI #1285542720)