Organization Active NPI

Rehabilitation Institute of South Texas

  • Physical Medicine & Rehabilitation Physician
  • McAllen, TX
National Provider Identifier
1043408248
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
C9104 Issued in TX
Legal business name
REHABILITATION INSTITUTE OF SOUTH TEXAS
Practice address
2501 Buddy Owens Ave
McAllen, TX 78504-5427
Phone
(956) 631-6109
Fax
(956) 631-6125
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Alton Perry
Title
Medical Director
Phone
(956) 631-6109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X C9104 TX Primary

Addresses

Primary practice location

2501 Buddy Owens Ave
McAllen, TX 78504-5427

Mailing address

PO Box 6208
McAllen, TX 78502-6208
Phone (956) 631-6109

Other identifiers 1

IdentifierTypeStateIssuer
11560031OtherTXCAQH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1043408248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6208",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026208",
            "telephone_number": "956-631-6109",
            "fax_number": "956-631-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BUDDY OWENS AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045427",
            "telephone_number": "956-631-6109",
            "fax_number": "956-631-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION INSTITUTE OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ALTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-631-6109",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "C9104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11560031",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.