NPIMap

Organization Active NPI

Go Go Care Rehab LLC

  • Rehabilitation Clinic/Center
  • Pharr, TX
National Provider Identifier
1083071625
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
GO GO CARE REHAB LLC
Practice address
912 E Nolana Loop
Suite G
Pharr, TX 78577-5838
Phone
(956) 502-5717
Fax
(956) 720-0882
NPI assigned
Jan 27, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mr. Baldemar GarciaNPI 1184810418
Title
Occupational Therapist
Phone
(956) 502-5717

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
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

912 E Nolana Loop
Suite G
Pharr, TX 78577-5838

Mailing address

912 E Nolana Loop
Suite G
Pharr, TX 78577-5838
Phone (956) 502-5717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083071625. Details of each certification follow.

  • CCN 676733 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676733

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GO GO CARE REHAB LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 14, 2016
Last certification
Dec 14, 2016
Ownership / control type
Proprietary
Facility address
912 E Nolana Loop, Suite G
Pharr, TX 78577

National Provider Directory

National Provider Directory

Locations

912 E Nolana Loop
Ste G
Pharr, TX 78577
Phone (956) 299-3906

912 E Nolana Loop
Ste H
Pharr, TX 78577
Phone (956) 502-5717

Practitioners & affiliated clinicians

Practitioners 6

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": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1083071625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E NOLANA LOOP",
            "address_2": "SUITE G",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775838",
            "telephone_number": "956-502-5717",
            "fax_number": "956-720-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E NOLANA LOOP",
            "address_2": "SUITE G",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775838",
            "telephone_number": "956-502-5717",
            "fax_number": "956-720-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO GO CARE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BALDEMAR",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "956-502-5717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.