Active NPI
Mentor Abi, LLC
Doing business as NeuroRestorative San Antonio
- Rehabilitation Hospital
- Castle Hills, TX
National Provider Identifier
1043581937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- MENTOR ABI, LLC
- Doing business as
- NeuroRestorative San Antonio
- Practice address
- 124 S Winston LN
Castle Hills, TX 78213-1827 - Phone
- (210) 979-0830
- Fax
- (210) 979-0842
- NPI assigned
- Jan 24, 2012
- Last updated
- Sep 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- VP & Sr Asst General Counsel
- Phone
- (952) 836-2234
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Primary | ||
| Assisted Living Facility | 310400000X |
Addresses
Primary practice location
124 S Winston LN
Castle Hills, TX 78213-1827
Mailing address
280 Merrimack St Ste 600
Lawrence, MA 01843-2159
Phone (978) 655-2363
Other names 1
- NeuroRestorative San Antonio
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2236225 | Neurorestorative San Antonio | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Mentor Abi LLC Dba Neurorestorative Indiana
Other organizations with this tax ID 36
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Oregon Orchid
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
- NPI 1558686576
-
dba NeuroRestorative Rhode Island
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Charlestown, RI
- NPI 1639476617
-
dba NeuroRestorative Wisconsin
- Mental Illness Community Based Residential Treatment Facility
- Waterford, WI
- NPI 1649574252
-
dba NeuroRestorative Maine
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Sebago, ME
- NPI 1033426739
-
- Rehabilitation Hospital
- Westerville, OH
- NPI 1144544289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1043581937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MERRIMACK ST STE 600",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018432159",
"telephone_number": "978-655-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S WINSTON LN",
"city": "CASTLE HILLS",
"state": "TX",
"postal_code": "782131827",
"telephone_number": "210-979-0830",
"fax_number": "210-979-0842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTOR ABI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-24",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NeuroRestorative San Antonio",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NeuroRestorative San Antonio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Castle Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.