Organization Active NPI

Cardinal Rehab Services, Inc.

  • Adult Health Nurse Practitioner
  • Hurst, TX
National Provider Identifier
1053616227
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
531803 Issued in TX
Legal business name
CARDINAL REHAB SERVICES, INC.
Practice address
729 Grapevine Hwy
Suite 387
Hurst, TX 76054-2805
Phone
(817) 770-7805
Fax
(877) 214-0565
NPI assigned
Jan 20, 2011
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Ms. Deborah S McKnight, N.P.NPI 1528005758
Title
Owner
Phone
(817) 770-7805

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
Adult Health Nurse Practitioner 363LA2200X 531803 TX Primary

Addresses

Primary practice location

729 Grapevine Hwy
Suite 387
Hurst, TX 76054-2805

Mailing address

729 Grapevine Hwy
Suite 387
Hurst, TX 76054-2805
Phone (817) 770-7805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110902000040 TX Part B Supplier - Clinic/Group Practice 5991975716 Receives reassigned benefits from 2 practitioners
Practice locations: Azle, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1053616227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 GRAPEVINE HWY",
            "address_2": "SUITE 387",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542805",
            "telephone_number": "817-770-7805",
            "fax_number": "877-214-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 GRAPEVINE HWY",
            "address_2": "SUITE 387",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542805",
            "telephone_number": "817-770-7805",
            "fax_number": "877-214-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-770-7805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "531803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.