NPIMap

Organization Active NPI

Richard L Shorkey Education & Rehabilitation Center

  • Physical Therapist
  • Beaumont, TX
National Provider Identifier
1053497677
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RICHARD L SHORKEY EDUCATION & REHABILITATION CENTER
Practice address
855 S 8TH St
Beaumont, TX 77701
Phone
(409) 838-6568
Fax
(409) 838-1337
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Re Deana Deana Shaver
Title
Insurance/Billing Admin
Phone
(409) 838-6568

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

855 S 8TH St
Beaumont, TX 77701

Mailing address

855 S 8TH St
Beaumont, TX 77701
Phone (409) 838-6568

Other identifiers 1

IdentifierTypeStateIssuer
0073BGOtherTXTX EXEC COUNCIL OCC & PT

Other names 1

  • Shorkey Center Other name

National Provider Directory

National Provider Directory

Locations

855 S 8th St
Beaumont, TX 77701
Phone (409) 838-6568

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1053497677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-838-6568",
            "fax_number": "409-838-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-838-6568",
            "fax_number": "409-838-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L SHORKEY EDUCATION & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "RE DEANA",
        "authorized_official_middle_name": "DEANA",
        "authorized_official_title_or_position": "INSURANCE/BILLING ADMIN",
        "authorized_official_telephone_number": "409-838-6568"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX EXEC COUNCIL OCC & PT",
            "identifier": "0073BG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shorkey Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shorkey Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.