NPIMap

Organization Active NPI

Laredo Autistic and Kids Rehabilitation Center LLC

Doing business as Therapatitos

  • Rehabilitation Clinic/Center
  • Laredo, TX
National Provider Identifier
1023336773
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LAREDO AUTISTIC AND KIDS REHABILITATION CENTER LLC
Doing business as
Therapatitos
Practice address
2110 Lomas del Sur Unit 114115
Laredo, TX 78046-5750
Phone
(956) 712-9111
Fax
(956) 712-8421
NPI assigned
May 5, 2010
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David GonzalezNPI 1265627004
Title
Owner
Phone
(956) 712-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

2110 Lomas del Sur Unit 114115
Laredo, TX 78046-5750

Mailing address

2110 Lomas del Sur Unit 114115
Laredo, TX 78046-5750
Phone (956) 712-9111

Other practice location 1

2130 E Griffin Pkwy
Mission, TX 78572-3225
Phone (956) 583-1527

Other names 1

  • Therapatitos Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100607000499 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1850433954 Practice locations: Laredo, TX
O20241213001563 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1850433954 Practice locations: Mission, TX

National Provider Directory

National Provider Directory
Tax ID family
Laredo Autistic and Kids Rehabilitation Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2110 Lomas del Sur
Unit 114115
Laredo, TX 78046
Phone (956) 712-9111

2130 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-1527

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1023336773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LOMAS DEL SUR UNIT 114115",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465750",
            "telephone_number": "956-712-9111",
            "fax_number": "956-712-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 LOMAS DEL SUR UNIT 114115",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465750",
            "telephone_number": "956-712-9111",
            "fax_number": "956-712-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 E Griffin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723225",
            "country_code": "US",
            "telephone_number": "956-583-1527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAREDO AUTISTIC AND KIDS REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-712-9111"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapatitos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.