Wichita Valley Rehabilitation Hospital

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

007229 Issued in TX

Legal business name

WICHITA VALLEY REHABILITATION HOSPITAL

Practice address

302 Loop 11
Wichita Falls, TX 76306-3705

Phone

(940) 397-8200

Fax

(940) 397-8240

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Delnita Bray

Title

Administrator

Phone

(940) 397-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 453088

Legal name

WICHITA VALLEY REHABILITATION HOSPITAL

Certification status

Terminated Voluntary: other reason for withdrawal, Dec 1, 2006

Provider type (POS)

Hospital – Rehabilitation

Participating since

Nov 14, 2000

Last certification

Dec 9, 2005

Beds

48

Ownership / control type

Private (not for profit)

Facility address

302 Loop 11
Wichita Falls, TX 76306

Locations

Practitioners 1

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

• Sanjoy Sundaresan, M.D.

  • Neurological Surgery Physician
  • Wichita Falls, TX
  • NPI 1376504894
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073595948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 LOOP 11",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763063705",
            "telephone_number": "940-397-8200",
            "fax_number": "940-397-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LOOP 11",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763063705",
            "telephone_number": "940-397-8200",
            "fax_number": "940-397-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA VALLEY REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "DELNITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-397-8200"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "TX",
            "license": "007229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH1000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wichita Home Health Service, Inc.
• Wichita Medical Group PLLC
• Wichita Medical Management, LLC
• Wichita Smiles (Smart Mouth Family Dental)
• Wichita Smiles
• Julie Ann Wicker, OT
• Kayla Christina Lynn Widener
• Bryan Wieck
• Beverly A Wilbur, DO
• Brenda Renee Wilde, EIS

• Rehabilitation Hospital in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Rehabilitation Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.