Active NPI
Mt. Shenir, LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Carrollton, TX
National Provider Identifier
1063662393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- MT. SHENIR, LLC
- Practice address
- 2908 E Trinity Mills Rd
Carrollton, TX 75006-2318 - Phone
- (214) 277-1168
- NPI assigned
- Sep 23, 2008
- 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
- Melissa Ann Upshaw
- Title
- Owner
- Phone
- (214) 277-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
2908 E Trinity Mills Rd
Carrollton, TX 75006-2318
Mailing address
2908 E Trinity Mills Rd
Carrollton, TX 75006-2318
Phone (214) 277-1168
Other names 1
- LifeSteps Rehabilitation of Carrolton
National Provider Directory
National Provider DirectoryLocations
2908 E Trinity Mills Rd
Carrollton, TX 75006
Phone (214) 483-3170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1063662393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 E TRINITY MILLS RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062318",
"telephone_number": "214-277-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 E TRINITY MILLS RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062318",
"telephone_number": "214-277-1168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT. SHENIR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "UPSHAW",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-277-1168"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LifeSteps Rehabilitation of Carrolton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.