NPIMap

Organization Active NPI

Rehabcare Group East LLC

  • Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1063929792
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHABCARE GROUP EAST LLC
Practice address
Isle at Watercrest Dominion
6906 Heuermann Road
San Antonio, TX 78256
Phone
(210) 947-7000
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Ms. Anna Gardina, CCC-SLP
Title
Ceo
Phone
(847) 441-5593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

Isle at Watercrest Dominion
6906 Heuermann Road
San Antonio, TX 78256

Mailing address

2600 Compass Rd
Glenview, IL 60026-8001
Phone (847) 441-5593

Other names 1

  • RehabCare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agency.sanantonio@selectrehab.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180117000114 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0042128894 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Rehabcare Group Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1063929792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "847-441-5593",
            "fax_number": "847-386-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ISLE AT WATERCREST DOMINION",
            "address_2": "6906 HEUERMANN ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78256",
            "telephone_number": "210-947-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE GROUP EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "GARDINA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-441-5593",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agency.sanantonio@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Isle at Watercrest Dominion",
            "address_2": "6906 Heuermann Road",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.